DR. BERNADETTE EVANS-SMITH (NPI# 1265670202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265670202 |
Entity Type | Individual |
Full Name | DR. BERNADETTE EVANS-SMITH |
Credential | PH.D. |
Practice Address |
11000 Prosperity Farms Rd Ste 200 Palm Beach Gardens FL 33410-3470 |
Practice Telephone | 5615584161 |
Mailing Telephone | 5615584161 |
Enumeration Date | 2009-01-29 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
15988 | CA | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
9262 | FL | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
071007549 | IL | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4711 Golf Rd, Suite 1100, Skokie, IL 600761224 | 8479339339 | 8479330874 |
Street Address |
11000 PROSPERITY FARMS RD STE 200 |
City | PALM BEACH GARDENS |
State | FL |
Zip Code | 33410-3470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
Find all providers in zip 33410 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225594161 | Aane, LLC | Psychologist | 2700 Pga Blvd Ste 101, Palm Beach Gardens, FL 33410-2958 | 2019-02-15 |
1518361286 | Dr.seth Leventhal,llc | Psychologist | 11380 Prosperity Farms Rd Ste 210b, Palm Beach Gardens, FL 33410-3477 | 2014-10-09 |
1558409557 | Alice E Richman | Psychologist | 112 San Marita Way, Palm Beach Gardens, FL 33418-4509 | 2007-02-02 |
1093759656 | Norma Janeau Schulman | Psychologist | 5604 P. G. A. Blvd., Suite 107, Palm Beach Gardens, FL 33418 | 2006-06-15 |
1033158753 | Joan T. Cooper | Psychologist | 8259 N Military Trail, Ste 9, Palm Beach Gardens, FL 33410-6352 | 2006-06-06 |
1104450642 | Comprehensive Mental Health Care Services Inc. | Psychologist | 9121 N Military Trl Ste 207, Palm Beach Gardens, FL 33410-5988 | 2020-02-24 |
1457897118 | Andrea Stripling | Psychologist | 3801 Pga Blvd, Ste 600, Palm Beach Gardens, FL 33410-2756 | 2017-01-18 |
1316390487 | Amanda Joelle Davis | Psychologist | 11380 Prosperity Farms Rd Ste 210b, Palm Beach Gardens, FL 33410 | 2016-07-13 |
1992164339 | J M Atwater, Phd | Psychologist | 4362 Northlake Blvd, Suite 108, Palm Beach Gardens, FL 33410-6275 | 2016-02-13 |
1932504495 | Christina Zoe Atti | Psychologist | 4360 Northlake Blvd, Suite 211, Palm Beach Gardens, FL 33410-6274 | 2014-10-27 |
Find all providers in PALM BEACH GARDENS |
City | PALM BEACH GARDENS |
Zip Code | 33410 |
Please comment or provide details below to improve the information on DR. BERNADETTE EVANS-SMITH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.