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DR. EVAN B. DRAKE PH.D.
NPI 1336214477
Clinical Neuropsychologist in Darien, CT

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
28 THORNDAL CIR STE 3, DARIEN, CT 06820(203) 309-2707(877) 951-2288 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2019, Dec 19, 2016, Jan 21, 2016 (3 updates tracked since 2016).

About Dr. Evan B. Drake Ph.d. NPPES

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

DR. EVAN B. DRAKE PH.D. (NPI 1336214477) is an individual clinical neuropsychologist in Darien, Connecticut, licensed in Connecticut (003265) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1336214477
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. EVAN B. DRAKECredential: PH.D.
Location Address28 THORNDAL CIR STE 3Darien, CT 06820-5429
Mailing Address23 Nickerson LnDarien, CT 06820-5720 · (203) 309-2707 · Fax (877) 951-2288
Phone(203) 309-2707
Fax(877) 951-2288
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 22, 2006
Last NPPES UpdateMarch 19, 20193 updates tracked since enumeration
✔ NPI 1336214477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CT · 003265
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
28 THORNDAL CIR STE 3, Darien, CT 06820
Open in Google Maps ↗

Other Identifiers 1

Medicaid008053170CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Evan B. Drake Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305736984
PECOS Enrollment IDI20130318000435
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Evan Drake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gaylord Hospital, Inc.
43 mi
Long Term Care Hospital
50 GAYLORD FARM RD
Wallingford, CT 06492
  • Reassigned Medicare billing, Connecticut enrollment
  • 84 clinicians in this Medicare group
NPI 1730137753 (203) 284-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evan Drake's NPI number?

The NPI number for Evan Drake is 1336214477. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Evan Drake located?

Evan Drake practices at 28 Thorndal Cir Ste 3, Darien, CT 06820. The listed phone number is (203) 309-2707.

What is Evan Drake's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Evan Drake enrolled in Medicare?

Yes. Evan Drake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Evan Drake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Drake reassigns Medicare benefits to Gaylord Hospital, Inc. (Wallingford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Drake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evan Drake was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.