EVOLUTION MIND, LLC
NPI 1912428905
Clinic/Center - Mental Health (Including Community Mental Health Center) in Maplewood, NJ

Q: What is Evolution Mind, LLC's NPI number?

The NPI number for Evolution Mind, LLC is 1912428905. It was assigned to this organization in the NPPES registry on June 29, 2017.

Q: What is Evolution Mind, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since June 29, 2017

2130 MILLBURN AVE STE D2, MAPLEWOOD, NJ 07040(973) 801-1801(908) 964-0809 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2017, Jun 29, 2017 (2 updates tracked since 2017).

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About Evolution Mind, Llc NPPES

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

EVOLUTION MIND, LLC (NPI 1912428905) is a healthcare organization registered as a mental health (including community mental health center) in Maplewood, New Jersey and active in the NPI registry since June 2017. The organization lists Kira Baskerville-williams, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1912428905

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameEVOLUTION MIND, LLC

Location Address2130 MILLBURN AVE STE D2Maplewood, NJ 07040-3749

Mailing Address1286 Marcella DrUnion, NJ 07083-6243 · (973) 801-1801

Phone(973) 801-1801

Fax(908) 964-0809

Organization SubpartNo

Authorized OfficialKira Baskerville-williamsCo-owner · (973) 801-1801

Enumeration DateJune 29, 2017

Last NPPES UpdateOctober 23, 20172 updates tracked since enumeration

✔ NPI 1912428905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

2130 MILLBURN AVE STE D2, Maplewood, NJ 07040

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Other Identifiers 1

Other1336699529NJ · Npi

Other Providers at the Same Location NPPES 3

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

AIYANA BROTHERSON LMFT

Marriage & Family Therapist

2130 MILLBURN AVE STE D2
MAPLEWOOD, NJ 07040

Essex County (917) 310-2662

PAULA WILSON-HOWELL PSY.D; LAC

Psychologist (Counseling)

2130 MILLBURN AVE STE D2
MAPLEWOOD, NJ 07040

Essex County (917) 771-6172

MRS. JUSTINE AFUA ASANTE LMFT

Marriage & Family Therapist

2130 MILLBURN AVE STE D2
MAPLEWOOD, NJ 07040

Essex County (971) 310-2662

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 Mind, LLC's NPI number?

The NPI number for Evolution Mind, LLC is 1912428905. It was assigned to this organization in the NPPES registry on June 29, 2017.

Where is Evolution Mind, LLC located?

Evolution Mind, LLC is located at 2130 Millburn Ave Ste D2, Maplewood, NJ 07040. The listed phone number is (973) 801-1801.

What is Evolution Mind, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Evolution Mind, LLC was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.