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DR. GWENDOLYN EVANS PHD
NPI 1164570693
Psychologist - Clinical in San Francisco, CA

Active since January 08, 2007Opted out of Medicare · through Apr 1, 2028
176 PALO ALTO AVE, SAN FRANCISCO, CA 94114(415) 681-1922 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gwendolyn Evans Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GWENDOLYN EVANS PHD (NPI 1164570693) is an individual clinical provider in San Francisco, California, licensed in California (PSY14089) and active in the NPI registry since January 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164570693
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GWENDOLYN EVANSCredential: PHD
Location Address176 PALO ALTO AVESan Francisco, CA 94114-2122
Mailing Address176 Palo Alto AveSan Francisco, CA 94114-2122 · (415) 681-1922
Phone(415) 681-1922
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 20, 2007
✔ NPI 1164570693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY14089
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License PSY14089 (CA)
Also ListedPsychologistTaxonomy 103T00000X · License PSY14089 (CA)
176 PALO ALTO AVE, San Francisco, CA 94114
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Other Identifiers 1

Medicaid01682104CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gwendolyn Evans Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Evans's NPI number?

The NPI number for Gwendolyn Evans is 1164570693. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Gwendolyn Evans located?

Gwendolyn Evans practices at 176 Palo Alto Ave, San Francisco, CA 94114. The listed phone number is (415) 681-1922.

What is Gwendolyn Evans's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gwendolyn Evans enrolled in Medicare?

No. Gwendolyn Evans has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gwendolyn Evans was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.