Evolve Psychiatric Services, a Professional Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EVOLVE PSYCHIATRIC SERVICES, A PROFESSIONAL NURSING CORPORATION

Practice address

1611 S Pacific Coast Hwy Ste 307
Redondo Beach, CA 90277-5614

Phone

(310) 818-1902

Fax

(844) 888-0583

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Kathleen McDermott, PMNHP-BCNPI 1760637474

Title

Owner, Ceo

Phone

(310) 343-9424

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kathleen Mary McDermott, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Redondo Beach, CA
  • NPI 1760637474
  NPD Authorized official

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1548092745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 CALLE DE ARBOLES",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056260",
            "telephone_number": "310-343-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S PACIFIC COAST HWY STE 307",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775614",
            "telephone_number": "310-818-1902",
            "fax_number": "844-888-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PSYCHIATRIC SERVICES, A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "310-343-9424",
        "authorized_official_credential": "PMNHP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.