EVAN FOX MD, LLC
NPI 1457699712
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Glastonbury, CT
About Evan Fox Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN FOX MD, LLC (NPI 1457699712) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Glastonbury, Connecticut and active in the NPI registry since January 2013. The organization lists Evan Fox, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evan Fox Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Evan Fox MD, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Fox MD, LLC's NPI number?
The NPI number for Evan Fox MD, LLC is 1457699712. It was assigned to this organization in the NPPES registry on January 22, 2013.
Where is Evan Fox MD, LLC located?
Evan Fox MD, LLC is located at 300 Hebron Ave Suite 107, Glastonbury, CT 06033. The listed phone number is (860) 430-1150.
What is Evan Fox MD, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.
Is Evan Fox MD, LLC enrolled in Medicare?
Yes. Evan Fox MD, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evan Fox MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Evan Fox MD, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Evan Fox MD, LLC was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Evan Fox Md, Llc · NPI 1457699712
Behavioral Neurology & Neuropsychiatry organization in Glastonbury, Connecticut. Organization record, active in the CMS NPPES registry since January 22, 2013.
## Identity
- **NPI:** 1457699712 (Entity type: Organization)
- **Enumerated:** January 22, 2013
- **Primary specialty:** Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry · taxonomy 2084B0040X
- **Organization subpart:** No
- **Authorized official:** Evan Fox, OWNER
## Practice location
- **Address:** 300 HEBRON AVE, SUITE 107, Glastonbury, CT 06033-2176
- **Phone:** (860) 430-1150 · **Fax:** (860) 430-1093
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1457699712) · Data from the CMS NPPES public registry.