JACLYN ANN EVANS PSY.D. NPI 1003000449
Counselor (Mental Health) in Ansonia, CT
About JACLYN EVANS
Jaclyn Evans is a provider in Ansonia, CT. The NPI number assigned to this provider is 1003000449. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an individual and their NPI record was last updated 9 years ago.
| NPI | 1003000449 |
| Provider Name | JACLYN ANN EVANS PSY.D. |
| Provider Location Address | 435 E MAIN ST ANSONIA, CT 06401 |
| Provider Mailing Address | PO BOX 658 435 EAST MAIN STREET ANSONIA, CT 06401 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 08-29-2007 |
| Last Update Date | 09-17-2009 |
Primary Taxonomy
| Taxonomy Code | 101YM0800X |
| Classification | Counselor |
| Type | Behavioral Health & Social Service Providers |
| Specialization | Mental Health |
Business Address
JACLYN ANN EVANS PSY.D.
435 E MAIN ST
ANSONIA, CT
ZIP 06401
Phone: (203) 736-2905
Mailing Address
JACLYN ANN EVANS PSY.D.
PO BOX 658
435 EAST MAIN STREET
ANSONIA, CT
ZIP 06401
Phone: (203) 736-2905
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | No | ||
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053695874 | CHRISTINE CANAPINNO MS Individual | Counselor (Mental Health) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1144571951 | MR. RICHARD ANDREW FEHER JR. LMFT Individual | Marriage & Family Therapist | 435 E MAIN ST BOX 658 ANSONIA, CT 06401 (203) 736-2601 |
| 1174662837 | MS. KATHLEEN D RICCIO BS, CAC Individual | Counselor (Addiction (Substance Use Disorder)) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1194955351 | MS. CYNTHIA ANNE ZAFRIN MCCAHILL LCSW Individual | Social Worker (Clinical) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1265516264 | JACQUELINE RYZMAN GOLD PHD Individual | Psychologist (Clinical) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1306042700 | BHCARE, INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1316001647 | JENNIFER LUISE CHAMPAGNE MA Individual | Counselor (Professional) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1316091267 | LISA A LEOGRANDE LPC Individual | Counselor (Professional) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1356502082 | LISA M ARTACHE LCSW Individual | Social Worker (Clinical) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1477710747 | ELINOR R PALMER-GONZALEZ LPC Individual | Counselor (Professional) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1518094135 | DANIELLE GRECO LPC Individual | Counselor | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2905 |
| 1578745154 | DR. JASON A KISS PSY.D., M.A. Individual | Psychologist | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2905 |
| 1609947738 | MR. ROBERT J. SMITH LCSW,LADC,LMFT Individual | Social Worker (Clinical) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2905 |
| 1619945987 | DR. CORY BRIDWELL SELLS PSY.D. Individual | Psychologist (Clinical) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1639229172 | DR. MARIE C SOLAZZO PH.D. Individual | Counselor (Professional) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2905 |
| 1689739237 | MRS. LUCY SCHWARTZMAN Individual | Social Worker (Clinical) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1780748012 | HEALTHWAYS, INC Organization | Social Worker (Clinical) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
| 1841435153 | DAN A OREN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2905 |
| 1881755700 | ANITA MARIE CIPRIANO L.C.S.W. , M.S.W. Individual | Social Worker (Clinical) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2905 |
| 1992908057 | MARJORIE J.E. LAFEX LPC Individual | Counselor (Professional) | 435 E MAIN ST ANSONIA, CT 06401 (203) 736-2601 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.