1. Home
  2. Directory
  3. NPI Profile

EDWARD BEVAN PSY. D.
NPI 1649646142
Psychologist - Cognitive & Behavioral in Mountainhome, PA

Active since August 19, 2015Opted out of Medicare · through Oct 31, 2026
1056 ROUTE 390, MOUNTAINHOME, PA 18342(570) 807-6638 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Bevan Psy. D. NPPES

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

EDWARD BEVAN PSY. D. (NPI 1649646142) is an individual cognitive & behavioral provider in Mountainhome, Pennsylvania, licensed in Pennsylvania (PS017344) and active in the NPI registry since August 2015. He has opted out of Medicare through October 31, 2026.

NPPES Registry Identity

NPI1649646142
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameEDWARD BEVANCredential: PSY. D.
Location Address1056 ROUTE 390Mountainhome, PA 18342
Mailing Address3287 Spruce Cabin RdCresco, PA 18326-7916 · (570) 807-6638
Phone(570) 807-6638
Sole ProprietorYes
Enumeration DateAugust 19, 2015
✔ NPI 1649646142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in PA · PS017344
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS017344 (PA)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PS017344 (PA)
1056 ROUTE 390, Mountainhome, PA 18342
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Edward Bevan Psy. D. 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 October 31, 2020 through October 31, 2026.

Opt-Out Effective DateOctober 31, 2020
Opt-Out In Effect ThroughOctober 31, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MS. CELESTE GEERING MSW, LCSW
Counselor
1056 ROUTE 390, HIGHPOINT BUSINESS CENTER
MOUNTAINHOME, PA 18342
Monroe County (570) 856-2087

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 Edward Bevan's NPI number?

The NPI number for Edward Bevan is 1649646142. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Edward Bevan located?

Edward Bevan practices at 1056 Route 390, Mountainhome, PA 18342. The listed phone number is (570) 807-6638.

What is Edward Bevan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Edward Bevan enrolled in Medicare?

No. Edward Bevan has opted out of Medicare through October 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Edward Bevan was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.