Evolution Mind, LLC
NPI 1912428905 · Mental Health Clinic/Center (Including Community Mental Health Center) · Maplewood, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evolution Mind, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Maplewood, NJ (NPI 1912428905).
Provider details
- NPI number
- 1912428905
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kira Baskerville-Williams, Co-Owner(973) 801-1801
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-29
- Last updated
- 2017-10-23
Frequently asked questions
- What is Evolution Mind, LLC's NPI number?
- Evolution Mind, LLC's National Provider Identifier (NPI) is 1912428905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evolution Mind, LLC?
- Evolution Mind, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Evolution Mind, LLC located?
- Evolution Mind, LLC's practice location on file with NPPES is 2130 Millburn Ave Ste D2, Maplewood, NJ 07040-3749.
- What is Evolution Mind, LLC's phone number?
- The practice phone number listed in the NPPES registry for Evolution Mind, LLC is (973) 801-1801.
- Does Evolution Mind, LLC accept Medicare?
- Evolution Mind, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evolution Mind, LLC?
- The authorized official listed on Evolution Mind, LLC's NPPES record is Kira Baskerville-Williams, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evolution Mind, LLC's NPI active?
- Yes — Evolution Mind, LLC's NPI (1912428905) is active in the NPPES registry as of the last update on 2017-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.