Provider Demographics
NPI:1174697866
Name:EVERHARD, ROSS AARON (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:AARON
Last Name:EVERHARD
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 JOEL DR
Mailing Address - Street 2:
Mailing Address - City:FORT CAMPBELL
Mailing Address - State:KY
Mailing Address - Zip Code:42223-5318
Mailing Address - Country:US
Mailing Address - Phone:270-461-4018
Mailing Address - Fax:
Practice Address - Street 1:650 JOEL DR
Practice Address - Street 2:
Practice Address - City:FORT CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42223-5318
Practice Address - Country:US
Practice Address - Phone:270-461-4018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1291103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY432007236OtherALLIANCE BEHAVIORAL
KYV529R2OtherEMPIRE BCBS
KY281496OtherUNITED BEHAVIORAL HEALTH
KY432007236OtherCIGNA
KY432007236OtherHEALTHSPAN
KY1204616OtherCOMMONWEALTH ADMINISTRATO
KY432007236OtherCIGNA BEHAVIORAL HEALTH
KY432007236OtherGREAT WEST HEALTHCARE
KY5656062OtherFIRST HEALTH
KYEVERROSSOtherCORPHEALTH
KY432007236OtherMEDBEN
KY089471000OtherMAGELLAN BEHAVIORAL HEALT
KY432007236OtherTRICARE NORTH REGION
KY000000330721OtherANTHEM BCBS
KY1204616OtherCHA HEALTH
KY432007236OtherAETNA
KY432007236OtherMEDICAL MUTUAL
KY432007236OtherVALUE OPTIONS
KY432007236OtherMEDICAL MUTUAL
KYP96116Medicare UPIN