Individual provider Active NPI

Evelyn Parker-Gaspard, PHD

  • Clinical Psychologist
  • Plano, TX
National Provider Identifier
1962599308
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3-1602 Issued in TX
Practice address
5601 Democracy Dr
Suite 225
Plano, TX 75024-3687
Phone
(972) 403-1359
Fax
(972) 403-1378
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3-1602 TX Primary

Addresses

Primary practice location

5601 Democracy Dr
Suite 225
Plano, TX 75024-3687

Mailing address

5601 Democracy Dr
Suite 225
Plano, TX 75024-3687
Phone (972) 403-1359

Other identifiers 2

IdentifierTypeStateIssuer
86755AOtherTXBCBS
154118702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3-1602TXMDClinical Psychologist
31602TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David M. Broussard, P.C. Past Accepting new patients
Vickery Health Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1962599308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR",
            "address_2": "SUITE 225",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243687",
            "telephone_number": "972-403-1359",
            "fax_number": "972-403-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR",
            "address_2": "SUITE 225",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243687",
            "telephone_number": "972-403-1359",
            "fax_number": "972-403-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-GASPARD",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "3-1602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86755A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154118702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.