Organization Active NPI

Thought Evolution LLC.

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1467817049
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCA1636 Issued in MD
Legal business name
THOUGHT EVOLUTION LLC.
Practice address
1111 Park Ave Apt 410
Baltimore, MD 21201-5608
Phone
(667) 303-3314
Fax
(667) 303-3319
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Dr. John Marvin Brown, LCADC
Title
President/Owner
Phone
(667) 303-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCA1636 MD Primary

Addresses

Primary practice location

1111 Park Ave Apt 410
Baltimore, MD 21201-5608

Mailing address

1111 Park Ave Ste L103
Baltimore, MD 21201-5651
Phone (443) 945-8581

National Provider Directory

National Provider Directory
Tax ID family
Thought Evolution LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1111 Park Ave
Ste L103
Baltimore, MD 21201

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1467817049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE STE L103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015651",
            "telephone_number": "443-945-8581",
            "fax_number": "667-303-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE APT 410",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015608",
            "telephone_number": "667-303-3314",
            "fax_number": "667-303-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUGHT EVOLUTION LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "667-303-3314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LCA1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.