Organization Active NPI

Evolution Psychology, LLC

  • Psychologist
  • Wilmington, DE
National Provider Identifier
1194507863
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
EVOLUTION PSYCHOLOGY, LLC
Practice address
1732A Marsh Rd # 189
Wilmington, DE 19810-4606
Phone
(302) 365-0157
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Dr. Stephanie Higgins, PSY.DNPI 1598371510
Title
Clinical Psychologist
Phone
(302) 365-0157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1732A Marsh Rd # 189
Wilmington, DE 19810-4606

Mailing address

1732A Marsh Rd # 189
Wilmington, DE 19810-4606

Other identifiers 1

IdentifierTypeStateIssuer
1598371510MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240105000493 DE Part B Supplier - Clinic/Group Practice 1254782022 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

1732 Marsh Rd
#A
Wilmington, DE 19810
Phone (302) 365-0157

1732A Marsh Rd
Wilmington, DE 19810
Phone (703) 943-7414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1194507863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732A MARSH RD # 189",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732A MARSH RD # 189",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104606",
            "telephone_number": "302-365-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "302-365-0157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598371510",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.