JACLYN EVANS NPI 1003000449

Counselor (Addiction (Substance Use Disorder))

JACLYN ANN EVANS PSY.D.

Jaclyn Evans is a counselor in Ansonia, CT. Jaclyn Evans NPI is 1003000449. The provider's taxonomy code is 101YA0400X - Counselor.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003000449
Provider Name: JACLYN ANN EVANS PSY.D.
Gender: Female
NPI Entity Type: Individual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: No
Is Organization Subpart?: N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 08-29-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 09-17-2009 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Registered in PECOS?: YES Additional informationCallout TooltipWhat is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1101YA0400X Additional informationCallout TooltipTaxonomy Code - 101YA0400X


Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)No
2101YM0800X Additional informationCallout TooltipTaxonomy Code - 101YM0800X


Behavioral Health & Social Service ProvidersCounselorMental HealthYes

Map Location


JACLYN ANN EVANS PSY.D. address is 435 E MAIN ST ANSONIA, CT 06401 Get Directions