Active NPI
Evolvepath Mental Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Short Hills, NJ
National Provider Identifier
1134043342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryNPI 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.