DR. EVAN LOCKARY PSY.D
NPI 1457787939
Psychologist - Clinical Child & Adolescent in Portland, OR

Q: What is Evan Lockary's NPI number?

The NPI number for Evan Lockary is 1457787939. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Q: What is Evan Lockary's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Evan Lockary was last updated on July 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 17, 2013PECOS Enrolled

11010 SE DIVISION ST STE 202, PORTLAND, OR 97266(503) 335-5975(503) 335-5974 Get Directions Write a Review

NPPES record last updated: July 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2021, Nov 11, 2015 (2 updates tracked since 2015).

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About Dr. Evan Lockary Psy.d NPPES

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

DR. EVAN LOCKARY PSY.D (NPI 1457787939) is an individual clinical child & adolescent provider in Portland, Oregon, licensed in Oregon (3416) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457787939

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. EVAN LOCKARYCredential: PSY.D

Location Address11010 SE DIVISION ST STE 202Portland, OR 97266-6400

Mailing Address1630 Se Rural St Apt 202Portland, OR 97202-5861 · (415) 847-0838

Phone(503) 335-5975

Fax(503) 335-5974

Sole ProprietorNo

Enumeration DateSeptember 17, 2013

Last NPPES UpdateJuly 3, 20212 updates tracked since enumeration

NPPES CertifiedJuly 3, 2021

✔ NPI 1457787939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in OR · 3416

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11010 SE DIVISION ST STE 202, Portland, OR 97266

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evan Lockary Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERMECIA JOY WATKINS MSW

Counselor (Mental Health)