Evolve Behavioral and Wellness
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Westlake, FL
NPI 1124997499 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1124997499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- EVOLVE BEHAVIORAL AND WELLNESS
- Practice address
- 5867 Whippoorwill Cir
Westlake, FL 33470-6509 - Phone
- (954) 512-9001
- NPI assigned
- Nov 4, 2025
- Organization subpart
- No
Authorized official
- Name
- Elaine Traverso
- Title
- Owner
- Phone
- (469) 257-3500
Practitioners 1
-
Elaine Maloney, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251213000356 | FL | Part B Supplier - Clinic/Group Practice | 9931693207 |
Receives reassigned benefits from 1 practitioner Practice locations: Westlake, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
5867 Whippoorwill Cir
Westlake, FL 33470-6509
Mailing address
5867 Whippoorwill Cir
Westlake, FL 33470-6509
Phone (954) 512-9001
Other providers in Westlake, FL
- Doverm Rehabilitation
- Downtown Ortho LLC
- Gianina Ekpa
- Kimberlie Evans
- Evolution Pathways Behavioral LLC
- Julbert Francois
- Mitchell David Gruzmark
- H3, PLLC
- Samara Hopkins
- Influential Therapy LLC
All providers in Westlake, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.