EVOLVE
NPI 1740916105
Psychiatry & Neurology - Psychiatry in Stamford, CT

Q: What is Evolve Brain Health LLC's NPI number?

The NPI number for Evolve Brain Health LLC is 1740916105. It was assigned to this organization in the NPPES registry on July 28, 2022. The provider is doing business as Evolve.

Q: What is Evolve Brain Health LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 28, 2022

1055 SUMMER ST, STAMFORD, CT 06905(203) 504-9758(203) 504-9758 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2024, Jul 28, 2022 (2 updates tracked since 2022).

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About Evolve NPPES

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

EVOLVE (NPI 1740916105) is a healthcare organization registered as a psychiatry in Stamford, Connecticut and active in the NPI registry since July 2022. The organization lists Thomas Joseph Knightly, Owner, as its authorized official.

NPPES Registry Identity

NPI1740916105

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameEVOLVE BRAIN HEALTH LLC

Location Address1055 SUMMER STStamford, CT 06905-5527

Mailing Address1055 Summer St Ste 2Stamford, CT 06905-5527 · (203) 504-9758 · Fax (203) 547-4914

Phone(203) 504-9758

Fax(203) 504-9758

Organization SubpartNo

Authorized OfficialThomas Joseph KnightlyOwner · (978) 857-1424

Enumeration DateJuly 28, 2022

Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1740916105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

1055 SUMMER ST, Stamford, CT 06905

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Other Names 1

Doing Business AsEvolve

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolve is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Evolve, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.