Evolve Brain Health Llc

LBN: Evolve Brain Health Llc
Evolve Brain Health Llc is an health care organization with primary practice located at 1055 Summer St , Stamford CT 06905-5527. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Evolve Brain Health Llc can be contacted via phone (203) 504-9758, or through Knightly, Thomas Joseph via phone (978) 857-1424.

Contact Information

Primary practice address
1055 Summer St Stamford CT 06905-5527
Phone: (203) 504-9758
Fax: (203) 504-9758
Website:
Map and Directions
Authorized official contact:
Name: Knightly, Thomas Joseph Doctor of Medicine (MD)
Phone: (978) 857-1424

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1740916105
LBN Legal business name Evolve Brain Health Llc
DBA Doing business as
Authorized official Knightly, Thomas Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers