Organization Active NPI

Linda a. Evans, PH.D., PA

  • Clinical Psychologist
  • Hollywood, FL
National Provider Identifier
1902998131
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LINDA A. EVANS, PH.D., PA
Practice address
101 N Ocean Dr
Suite 212
Hollywood, FL 33019-1728
Phone
(954) 699-9660
Fax
(964) 921-9126
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Linda Ann Evans, PH.D.NPI 1780698944
Title
Licensed Psychologist/Owner
Phone
(954) 699-9660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

101 N Ocean Dr
Suite 212
Hollywood, FL 33019-1728

Mailing address

101 N Ocean Dr
Suite 212
Hollywood, FL 33019-1728
Phone (954) 699-9660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061129000087 FL Part B Supplier - Clinic/Group Practice 1658379664 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

2028 Harrison St
Ste 207
Hollywood, FL 33020
Phone (954) 699-9660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1902998131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N OCEAN DR",
            "address_2": "SUITE 212",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191728",
            "telephone_number": "954-699-9660",
            "fax_number": "964-921-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N OCEAN DR",
            "address_2": "SUITE 212",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191728",
            "telephone_number": "954-699-9660",
            "fax_number": "964-921-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA A. EVANS, PH.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "954-699-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.