Active NPI
Evolve Healing and Wellness Center
- Adult Mental Health Clinic/Center
- Palatine, IL
National Provider Identifier
1841945870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- EVOLVE HEALING AND WELLNESS CENTER
- Practice address
- 579 N 1St Bank Dr Ste 150
Palatine, IL 60067-8102 - Phone
- (312) 945-7566
- NPI assigned
- Feb 17, 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
- Dr. Kari Alysse Weiterschan, PHD
- Title
- Practice Owner/Manager
- Phone
- (312) 945-7566
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
579 N 1St Bank Dr Ste 150
Palatine, IL 60067-8102
Mailing address
579 N 1St Bank Dr Ste 150
Palatine, IL 60067-8102
Phone (312) 945-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Palatine, IL
- NPI 1598438608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1841945870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 N 1ST BANK DR STE 150",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678102",
"telephone_number": "312-945-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 N 1ST BANK DR STE 150",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678102",
"telephone_number": "312-945-7566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE HEALING AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-17",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "WEITERSCHAN",
"authorized_official_first_name": "KARI",
"authorized_official_middle_name": "ALYSSE",
"authorized_official_title_or_position": "PRACTICE OWNER/MANAGER",
"authorized_official_telephone_number": "312-945-7566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.