NPIMap

Organization Active NPI

Evers Psychological Associates PC

  • Psychologist
  • Manasquan, NJ
National Provider Identifier
1972564573
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00176500 Issued in NJ
Legal business name
EVERS PSYCHOLOGICAL ASSOCIATES PC
Practice address
2421 Atlantic Avenue
Suite 102
Manasquan, NJ 08736-1000
Phone
(732) 528-5334
Fax
(732) 528-5279
NPI assigned
Mar 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Sean R Evers, PHDNPI 1154489243
Title
President Psychologist
Phone
(732) 528-5334

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 35SI00176500 NJ Primary

Addresses

Primary practice location

2421 Atlantic Avenue
Suite 102
Manasquan, NJ 08736-1000

Mailing address

2421 Atlantic Avenue
Suite 102
Manasquan, NJ 08736-1000
Phone (732) 528-5334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040723000402 NJ Part B Supplier - Clinic/Group Practice 1355321936 Receives reassigned benefits from 5 practitioners
Practice locations: Manasquan, NJ

National Provider Directory

National Provider Directory

Locations

2421 Atlantic Ave
Ste 102
Manasquan, NJ 08736
Phone (732) 528-5334

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1972564573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 ATLANTIC AVENUE",
            "address_2": "SUITE 102",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361000",
            "telephone_number": "732-528-5334",
            "fax_number": "732-528-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 ATLANTIC AVENUE",
            "address_2": "SUITE 102",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361000",
            "telephone_number": "732-528-5334",
            "fax_number": "732-528-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERS PSYCHOLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "EVERS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-528-5334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00176500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.