Zach Evans

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1330 W Auto Dr
Tempe, AZ 85284-1017

Phone

(480) 553-7153

NPI assigned

May 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Next Level Behavioral Health LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
  • NPI 1750248894
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1992442149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W AUTO DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W AUTO DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841017",
            "telephone_number": "480-553-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ZACH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841543345",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://azhhhsapp.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp#/mobiledoc/jsp/webemr/scheduling/resourceSchedule.jsp",
            "affiliation": "N",
            "address_1": "1330 W Auto Dr",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852841017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krystle Connie Etri, N.D.
• Ben C. Eubank, D.C.
• James R Evans, PSYD
• Lily Nichole Evans
• Olivia Evans
• Everest Solutions, Inc.
• Meredith Everett
• Kathryn W Everts, M.S.
• Evexia Medical Group Inc
• Evolve Life Services

• Behavior Technician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.