Active NPI
Evolve Health Partners
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pasadena, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- EVOLVE HEALTH PARTNERS
- Practice address
- 2528 Mountain Rd Ste 104
Pasadena, MD 21122-7202 - Phone
- (443) 548-3733
- NPI assigned
- Jan 18, 2022
- Last updated
- May 18, 2022
- 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
- Nick Albaugh, CSC-AD
- Title
- Director
- Phone
- (301) 538-4114
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Health Nurse Practitioner | 363LA2200X |
Addresses
Primary practice location
2528 Mountain Rd Ste 104
Pasadena, MD 21122-7202
Mailing address
2528 Mountain Rd Ste 204
Pasadena, MD 21122-7204
Phone (443) 548-3733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 661014500 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Evolve Health Partners
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Health Nurse Practitioner
- Pasadena, MD
- NPI 1831834969
Locations
2528 Mountain Rd
Ste 104
Pasadena, MD 21122
Phone (443) 548-3733
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.
-
- Adult Health Nurse Practitioner
- Pasadena, MD
- NPI 1831834969
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community/Behavioral Health Agency
- Pasadena, MD
- NPI 1407393291
-
- Clinical Social Worker
- Pasadena, MD
- NPI 1689540858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1841941119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2528 MOUNTAIN RD STE 204",
"city": "PASADENA",
"state": "MD",
"postal_code": "211227204",
"telephone_number": "443-548-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 MOUNTAIN RD STE 104",
"city": "PASADENA",
"state": "MD",
"postal_code": "211227202",
"telephone_number": "443-548-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE HEALTH PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "ALBAUGH",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "301-538-4114",
"authorized_official_credential": "CSC-AD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "661014500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.