Active NPI
Tina L Evans-Robinson, MD
- Psychiatry Physician
- Evansville, IN
National Provider Identifier
1972514446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01042654A
- Practice address
- 60 S Stockwell Rd
Evansville, IN 47714-0247 - Phone
- (812) 476-5437
- Fax
- (812) 422-7558
- NPI assigned
- Aug 10, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01042654A | IN | Primary |
Addresses
Primary practice location
60 S Stockwell Rd
Evansville, IN 47714-0247
Mailing address
415 Mulberry St
Evansville, IN 47713-1230
Phone (812) 423-7791
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11200269 | Other | IN | CAQH |
| 000000200415 | Other | IN | ANTHEM |
| 834950IIII | Other | IN | MEDICARE |
| 100461100A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| Southwestern Behavioral Healthcare, Inc. | Current | Accepting new patients |
Locations
414 SE 4th St
Ste 101
Evansville, IN 47713
Phone (812) 424-4880
415 Mulberry St
Evansville, IN 47713
Phone (812) 436-4232
60 S Stockwell Rd
Evansville, IN 47714
Phone (812) 476-5437
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evansville, IN
- NPI 1033108766
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evansville, IN
- NPI 1255168126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972514446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131230",
"telephone_number": "812-423-7791",
"fax_number": "812-422-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 S STOCKWELL RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140247",
"telephone_number": "812-476-5437",
"fax_number": "812-422-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS-ROBINSON",
"first_name": "TINA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01042654A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11200269",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000200415",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "834950IIII",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100461100A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.