Organization Active NPI

Evolvepath Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Short Hills, NJ
National Provider Identifier
1134043342
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EVOLVEPATH MENTAL HEALTH LLC
Practice address
830 Morris Tpke
Short Hills, NJ 07078-2625
Phone
(908) 884-9757
Fax
(908) 667-1815
NPI assigned
Aug 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Prisca Chimezie
Title
Apn/Owner
Phone
(908) 884-9757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WA0400X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

830 Morris Tpke
Short Hills, NJ 07078-2625

Mailing address

719 Suburban Rd
Union, NJ 07083-7428
Phone (908) 884-9757

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1134043342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SUBURBAN RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837428",
            "telephone_number": "908-884-9757",
            "fax_number": "908-667-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MORRIS TPKE",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782625",
            "telephone_number": "908-884-9757",
            "fax_number": "908-667-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVEPATH MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "CHIMEZIE",
        "authorized_official_first_name": "PRISCA",
        "authorized_official_title_or_position": "APN/OWNER",
        "authorized_official_telephone_number": "908-884-9757"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.