DR. EVAN B. DRAKE (NPI# 1336214477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336214477 |
| Entity Type | Individual |
| Full Name | DR. EVAN B. DRAKE |
| Credential | PH.D. |
| Practice Address |
28 Thorndal Cir Ste 3 Darien CT 06820-5429 |
| Mailing Address |
23 Nickerson Ln Darien CT 06820-5720 |
| Practice Telephone | 2033092707 |
| Practice Fax Number | 8779512288 |
| Mailing Telephone | 2033092707 |
| Mailing Fax Number | 8779512288 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 003265 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008053170 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376995787 | Evan S Drake | Pharmacist | 123 Hendersonville Rd, Asheville, NC 28803-2868 | 2016-07-09 |
| Street Address |
28 THORNDAL CIR STE 3 |
| City | DARIEN |
| State | CT |
| Zip Code | 06820-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574445 | Resolution Wellness | Physical Therapist | 5 Tokeneke Rd, Darien, CT 06820 | 2017-01-11 |
| 1548619158 | Gurpreet Singh | Pharmacist | 964 Post Road, Darien, CT 06820 | 2016-06-06 |
| 1578830584 | Darien Pediatric Associates, LLC | Pediatrics | 106 Noroton Avenue, Darien, CT 06820 | 2011-11-18 |
| 1649574476 | Kelly Anne Wolfe | Physical Therapist | 319 Post Rd, Darien, CT 06820 | 2011-01-09 |
| 1932409612 | Suzanne T. Spinella-curto | Social Worker | 110 Post Road, Darien, CT 06820 | 2010-10-27 |
| 1568793644 | Alan Marc Muney | Pediatrics | 70 Leeuwarden Rd., Darien, CT 06820 | 2010-01-29 |
| 1134356959 | Yuen-jong Liu | Plastic Surgery | 722 Post Rd Ste 200, Darien, CT 06820 | 2009-06-18 |
| 1740431667 | Lisa Michelle Supino | Psychologist | 6 Thorndal Circle, Darien, CT 06820 | 2008-10-09 |
| 1326222522 | Sharon Ellen Kutner | Social Worker | Family Centers- Center for Hope, 590 Post Road, Darien, CT 06820 | 2007-12-24 |
| 1174719637 | Jeanne E Castellucci | Chiropractor | 747 Post Rd, Darien, CT 06820 | 2007-09-19 |
| Find all providers in zip 06820 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043569288 | David Porrino | Clinical Neuropsychologist | 85 Old Kings Hwy N Fl 2, Darien, CT 06820-4732 | 2012-09-04 |
| 1396959656 | Patricia Mcdonough Ryan | Clinical Neuropsychologist | 85 Old Kings Hwy N, Concussion Center of Fairfield County, Darien, CT 06820-4732 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761224 | Shumita Roy | Clinical Neuropsychologist | 18 N Main St Fl 2, West Hartford, CT 06107-1970 | 2018-02-27 |
| 1992216790 | Brisman Associates In Neuropsychology, Pllc | Clinical Neuropsychologist | 433 S Main St Ste 225, West Hartford, CT 06110-2812 | 2017-10-19 |
| 1083157556 | Eva Troyb | Clinical Neuropsychologist | 26 Hawks Lndg, Amston, CT 06231-1659 | 2016-11-30 |
| 1669824702 | Martin D Oliveira Psy D LLC | Clinical Neuropsychologist | 10 N Main St Ste 1, West Hartford, CT 06107-1968 | 2016-07-12 |
| 1497151245 | Connecticut Neuropsychological Associates, LLC | Clinical Neuropsychologist | 40 Connecticut Ave, Norwich, CT 06360-1502 | 2014-11-06 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1922424175 | Psych Solutions LLC | Clinical Neuropsychologist | 2795 Albany Ave, West Hartford, CT 06117-1804 | 2014-03-12 |
| 1194157313 | Ginger Mills | Clinical Neuropsychologist | 623 Newfield Ave, Stamford, CT 06905-3302 | 2013-07-30 |
| 1144561051 | Western Connecticut Behavioral Health | Clinical Neuropsychologist | 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 | 2013-03-04 |
| 1285902387 | Lori Wagner | Clinical Neuropsychologist | 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877 | 2011-12-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. EVAN B. DRAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.