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 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	JACLYN ANN EVANS PSY.D.
Provider Location Address	435 E MAIN ST ANSONIA, CT 06401 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	PO BOX 658 435 EAST MAIN STREET ANSONIA, CT 06401 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity 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 What 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 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	09-17-2009 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	101YM0800X 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.
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

Get Directions

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
1

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

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