Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215056809 Individual Practitioner Male Practitioner

Dr. Evan Miller Thomas , PsyD

Psychologist • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Dr. Evan Thomas, PsyD is a registered healthcare professional specializing in Psychologist in Decatur, GA. Practice services are available at 108 E PONCE DE LEON AVE STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 E Ponce De Leon Ave Ste 204

Decatur, GA 300302512

Telephone 5105662367
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
56 Specialists

Practicing in Decatur, GA (941 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License GA PSY003899

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License CA D6540235

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Sfgh Internal Use Only
11415
Commercial Insurance / Payer ID Cbhs Internal Use Only-Commercial Number
11415

Secondary Practice Locations

2712 Mission St

San Francisco, CA 941103104

Phone: 4154012757

2470 Windy Hill Rd Se Ste 362

Marietta, GA 300678613

Phone: 5105662367

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jacqueline Logan , LPC

Counselor - Professional

NPI 1710257548

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 108 E PONCE DE LEON AVE STE 204, DECATUR, GA 300302512 (Tel: 5105662367)

📍
Updated Business Mailing Address March 17, 2018

Registered at 25857 FOOTHILLS DR N, GOLDEN, CO 804018556 (Tel: 5105662367)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as EVAN THOMAS, PSY.D.

📍
Updated Practice Location March 07, 2018

Registered at 108 E PONCE DE LEON AVE STE 204, DECATUR, GA 300302512 (Tel: 5105662367)

📍
Updated Business Mailing Address March 07, 2018

Registered at 25857 FOOTHILLS DR N, GOLDEN, CO 804018556 (Tel: 5105662367)

👤
Provider Name / Credentials Updated March 07, 2018

Recorded as EVAN THOMAS, PSY.D.

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2007

Registered at 2712 MISSION ST, SAN FRANCISCO, CA 941103104 (Tel: 4154012757)

📍
Updated Business Mailing Address July 16, 2007

Registered at 2712 MISSION ST, SAN FRANCISCO, CA 941103104 (Tel: 4154012757)

👤
Provider Name / Credentials Updated July 16, 2007

Recorded as EVAN THOMAS, INTERN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Counselor (License #D6540235 in CA)

🟢
Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215056809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

25857 Foothills Dr N

Golden, CO 804018556

Phone: 5105662367

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.