DR. BRADLEY B EVANS SR. (NPI# 1932176872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932176872 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY B EVANS SR. |
| Credential | PSYD |
| Practice Address |
3800 S W S Young Dr Ste 407 Killeen TX 76542-3374 |
| Mailing Address |
5644 Marshall Creek Dr Colorado Springs CO 80924-8104 |
| Practice Telephone | 2542523748 |
| Practice Fax Number | 2545490086 |
| Mailing Telephone | 7193372529 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 33721 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | LICENSE | 3235 | 01 |
| TX | LICENSE | 33721 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427289487 | Bradley John Evans | Pharmacist | 508 Highway 29 N, China Grove, NC 28023-2614 | 2009-08-07 |
| 1811004047 | Bradley Evans | Social Worker | 634 Wymount Ter, Provo, UT 84604-2028 | 2006-08-24 |
| 1194959114 | Bradley H Evans | Family Medicine | 3500 Bush St, Raleigh, NC 27609-7574 | 2009-05-05 |
| 1376627497 | Bradley J Evans | Dentist | 600 Dakota Drive, Rapid City, SD 57702-0920 | 2006-10-25 |
| 1255356523 | Bradley K. Evans | Psychiatry & Neurology | 110 S Madison St, Traverse City, MI 49684-2340 | 2006-07-13 |
| 1568464261 | Bradley H Evans | Internal Medicine | 10000 Se Main St, Suite 60, Portland, OR 97216-2448 | 2005-08-11 |
| Street Address |
3800 S W S YOUNG DR STE 407 |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639415524 | Robert Damian Clark | Psychologist | 3800 S W S Young Dr Ste 407, Killeen, TX 76542-3311 | 2012-12-20 |
| 1427321314 | Kristy L Lacko | Psychologist | 3800 S W S Young Dr Ste 407, Killeen, TX 76542-3374 | 2012-02-22 |
| 1942219357 | Stephen T Belk | Psychologist | 3800 S W S Young Dr Ste 407, Killeen, TX 76542-3374 | 2006-08-05 |
| 1689609646 | Walter Wahl | Family Medicine | 3800 S W S Young Dr Ste 407, Killeen, TX 76542-3374 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720305 | Albabeth Sarraga Rios | Psychologist | 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 | 2020-08-11 |
| 1205991403 | Jeffrey M. Dulin Phd LLC | Psychologist | 4304 Adobe Dr, Killeen, TX 76542-7517 | 2006-12-27 |
| 1932184389 | Family Behavioral Health Associates | Psychologist | 4520 E Central Texas Expy, Suite 111, Killeen, TX 76543-5626 | 2005-12-08 |
| 1871591487 | Mary Ann Schaffer | Psychologist | 1711 E Centex Expy, Killeen, TX 76541-9166 | 2005-07-08 |
| 1376973321 | Timothy J Daheim Pa | Psychologist | 2407 S Clear Creek Rd, Killeen, TX 76549-5721 | 2013-11-12 |
| 1639415524 | Robert Damian Clark | Psychologist | 3800 S W S Young Dr Ste 407, Killeen, TX 76542-3311 | 2012-12-20 |
| 1598896854 | Judy Embry | Psychologist | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2007-03-08 |
| 1942219357 | Stephen T Belk | Psychologist | 3800 S W S Young Dr Ste 407, Killeen, TX 76542-3374 | 2006-08-05 |
| 1437176955 | Timothy Joseph Daheim | Psychologist | 2407 S Clear Creek Rd, Killeen, TX 76549-5721 | 2006-07-17 |
| 1366403594 | David A. Stulman, Ph.d., P.C. | Psychologist | 2100 Trimmier Rd, Suite 103, Killeen, TX 76541-8900 | 2006-03-29 |
| Find all providers in KILLEEN | ||||
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| 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.