SARKA EVANS (NPI# 1417972373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417972373 |
| Entity Type | Individual |
| Full Name | SARKA EVANS |
| Credential | PHD |
| Practice Address |
760 Pilgrim Way Green Bay WI 54304-5263 |
| Mailing Address |
Po Box 19070 Prevea Health Green Bay WI 54307-9070 |
| Practice Telephone | 9204964700 |
| Practice Fax Number | 9204964705 |
| Mailing Telephone | 9204964700 |
| Mailing Fax Number | 9204964705 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1761 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 3920700 | 05 |
| Street Address |
760 PILGRIM WAY |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619941564 | Erin Michelle Lenzner | Specialist/Technologist | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2006-02-16 |
| 1811213101 | Andrea Weyenberg | Physical Therapy Assistant | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2010-04-13 |
| 1194041483 | Lynn Dewitt | Physical Therapy Assistant | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2010-04-13 |
| 1902122294 | Lisa Vandeven | Physical Therapy Assistant | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2010-04-13 |
| 1154647469 | Kari Daugherty | Physical Therapy Assistant | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2010-04-12 |
| 1922261569 | Curtis Lee Gibson | Specialist/Technologist | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2008-07-03 |
| 1891993929 | Susan Marie Grassl | Physical Therapist | 760 Pilgrim Way, Green Bay, WI 54307-9070 | 2007-07-10 |
| 1144359431 | Prevea Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2007-03-05 |
| 1750458956 | Philip Hutton Turnbull | Specialist/Technologist | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2006-11-30 |
| 1356437594 | Michael T Lamere | Specialist/Technologist | 760 Pilgrim Way, Green Bay, WI 54304-5263 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1457996910 | Jesse Frederick Peterson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2019-11-08 |
| 1417359324 | Harbor Health and Wellness LLC | Psychologist | 2701 Larsen Rd Ste 216, Green Bay, WI 54303-4863 | 2014-09-23 |
| 1992086748 | Sarah Elisabeth Baumgartner | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2011-09-07 |
| 1942475827 | Jay J Fostner | Psychologist | 130 E Walnut St, #706, Green Bay, WI 54301-4239 | 2008-04-23 |
| 1831229376 | Tara L Robertson | Psychologist | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2007-03-06 |
| 1871693739 | Denver L Johnson | Psychologist | 2900 Saint Anthony Dr, Green Bay, WI 54311-5859 | 2006-09-22 |
| 1023032745 | Irma Catherine Smet | Psychologist | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-26 |
| 1396770434 | Bruce J. Robertson | Psychologist | 2631 Packerland Dr, Suite 104-c, Green Bay, WI 54313-4130 | 2006-07-11 |
| 1063454502 | William B Hitch | Psychologist | 725 S Webster Ave, Green Bay, WI 54301-3500 | 2006-06-11 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on SARKA EVANS.
| 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.