Evolutions Health Group LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EVOLUTIONS HEALTH GROUP LLC

Practice address

720 S Dixie Hwy
Ste 1
Lantana, FL 33462-4652

Phone

(561) 619-5858

Fax

(561) 828-3154

NPI assigned

Mar 28, 2017

Last updated

Mar 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronica Hernandez

Title

Billing Manager

Phone

(954) 203-3584

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1568994887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S DIXIE HWY",
            "address_2": "STE 1",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624652",
            "telephone_number": "561-619-5858",
            "fax_number": "561-828-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S DIXIE HWY",
            "address_2": "STE 1",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334624652",
            "telephone_number": "561-619-5858",
            "fax_number": "561-828-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTIONS HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-203-3584"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erickson Costello Butler Erickson Optometrist PA (Eyecare Professionals)
• Neil Erickson, O.D.
• Todd Erickson, O.D.
• Stephanie Etienvil, RN
• Everlift Medical Solutions LLC
• Gesner Fable
• Christine Familia, MD
• Farm Pulido
• Jacqueline Bell Farrell, OTR
• Felicity Services Group, LLC

• Psychologist in Lantana, FL
• Providers in Lantana, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.