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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

EVOLUTION PSYCHIATRY, LLC
NPI 1679225825
Nurse Practitioner - Psychiatric/Mental Health in Fort Lauderdale, FL

Active since January 19, 2022
915 MIDDLE RIVER DR STE 103C, FORT LAUDERDALE, FL 33304(774) 365-9192 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Jan 19, 2022 (2 updates tracked since 2022).

About Evolution Psychiatry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVOLUTION PSYCHIATRY, LLC (NPI 1679225825) is a healthcare organization registered as a psychiatric/mental health in Fort Lauderdale, Florida and active in the NPI registry since January 2022. The organization lists Shannan Victorino, Owner, as its authorized official.

NPPES Registry Identity

NPI1679225825
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVOLUTION PSYCHIATRY, LLC
Location Address915 MIDDLE RIVER DR STE 103CFort Lauderdale, FL 33304-3559
Mailing Address3012 San Clara Dr # 18cDelray Beach, FL 33445-5429
Phone(774) 365-9192
Organization SubpartNo
Authorized OfficialShannan VictorinoOwner · (774) 365-9192
Enumeration DateJanuary 19, 2022
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1679225825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
915 MIDDLE RIVER DR STE 103C, Fort Lauderdale, FL 33304
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. IAN JACKSON LMHC
Counselor (Mental Health)
915 MIDDLE RIVER DR STE 103C
FORT LAUDERDALE, FL 33304
Broward County (908) 565-0866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evolution Psychiatry, LLC's NPI number?

The NPI number for Evolution Psychiatry, LLC is 1679225825. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Evolution Psychiatry, LLC located?

Evolution Psychiatry, LLC is located at 915 Middle River Dr Ste 103C, Fort Lauderdale, FL 33304. The listed phone number is (774) 365-9192.

What is Evolution Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Evolution Psychiatry, LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.