Individual provider Active NPI

Evalina Williams Bestman, PH.D.

  • Clinical Psychologist
  • North Miami, FL
National Provider Identifier
1982858064
Registry record updated Nov 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2724 Issued in FL
Practice address
1065 NE 125TH St
Suite 207
North Miami, FL 33161-5821
Phone
(305) 895-4220
Fax
(305) 895-4168
NPI assigned
Nov 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2008

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 PY2724 FL Primary

Addresses

Primary practice location

1065 NE 125TH St
Suite 207
North Miami, FL 33161-5821

Mailing address

1065 NE 125TH St
Suite 207
North Miami, FL 33161-5821
Phone (305) 895-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY2724FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1226793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226793600000",
    "number": "1982858064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST",
            "address_2": "SUITE 207",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615821",
            "telephone_number": "305-895-4220",
            "fax_number": "305-895-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST",
            "address_2": "SUITE 207",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615821",
            "telephone_number": "305-895-4220",
            "fax_number": "305-895-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESTMAN",
        "first_name": "EVALINA",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-16",
        "last_updated": "2008-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.