EVELYN ATHENA KOLIDAS PH.D.
NPI 1124516448
Psychologist - Health in Brooklyn, NY
NPI Status: Active since April 23, 2018
- Individual
- Female
- Psychologist
- Health
- PECOS Enrolled
About EVELYN KOLIDAS
This page provides the complete NPI Profile along with additional information for Evelyn Kolidas, a provider established in Brooklyn, New York with a medical specialization in Psychologist, focusing in health . The healthcare provider is registered in the NPI registry with number 1124516448 assigned on April 2018. The practitioner's primary taxonomy code is 103TH0004X with license number 022607 (NY). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1124516448
- Provider Name
- EVELYN ATHENA KOLIDAS PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 947 80TH ST BROOKLYN, NY 11228
- Location Phone
- (646) 483-7050
- Mailing Address
- 947 80TH ST BROOKLYN, NY 11228
- Mailing Phone
- (646) 483-7050
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-23-2018
- Last Update Date
- 04-23-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Health
- Taxonomy Code
- 103TH0004X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 022607
- License State
- NY
- Taxonomy Description
- A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
Medicare Participation & PECOS Enrollment Status
Evelyn Kolidas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 5 | 1 | 6 | 4 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 10 | 1 | 12 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 0 + 1 + 1 + 2 + 4 + 8 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1124516448 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124516448, enumerated in the NPI registry as an "individual" on April 23, 2018
The provider is located at 947 80th St Brooklyn, Ny 11228 and the phone number is (646) 483-7050
The provider's speciality is Psychologist with taxonomy code 103TH0004X with a focus in Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on April 23, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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