Provider Demographics
NPI:1144028556
Name:EVOLVE PSYCHIATRY NC PC
Entity type:Organization
Organization Name:EVOLVE PSYCHIATRY NC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRIYADARSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAJPAYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-673-3233
Mailing Address - Street 1:5550 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-6238
Mailing Address - Country:US
Mailing Address - Phone:631-673-2333
Mailing Address - Fax:888-571-1288
Practice Address - Street 1:1508 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7507
Practice Address - Country:US
Practice Address - Phone:631-673-3233
Practice Address - Fax:888-571-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty