Evolve Psychiatry and Wellness a Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EVOLVE PSYCHIATRY AND WELLNESS A NURSING CORPORATION

Practice address

1508 Barton Rd
Ste 216
Redlands, CA 92373-1410

Phone

(909) 895-0546

Fax

(909) 935-1185

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Chomya Oo

Title

Ceo

Phone

(818) 699-2125

Specialties & licenses 1

Addresses

Other names 1

• EVOLVE PSYCHIATRY AND WELLNESS Other name

Locations

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1942087119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 BARTON RD STE 216",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923731410",
            "telephone_number": "909-895-0546",
            "fax_number": "909-935-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 BARTON RD",
            "address_2": "STE 216",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923731410",
            "telephone_number": "909-895-0546",
            "fax_number": "909-935-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PSYCHIATRY AND WELLNESS A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "OO",
        "authorized_official_first_name": "CHOMYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-699-2125"
    },
    "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": [
        {
            "organization_name": "EVOLVE PSYCHIATRY AND WELLNESS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Hae Yun Evans
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• Danielle N Eveillard, LMSW/MPH
• Sean Anthony Everage
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• F.H. Banez Dental Corporation

• Psychiatric/Mental Health Nurse Practitioner in Redlands, CA
• Providers in Redlands, 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 Oct 26, 2023; 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.