Cobiella Center for Change, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

650238748 Issued in FL

Legal business name

COBIELLA CENTER FOR CHANGE, INC.

Practice address

953 NE Jensen Beach Blvd
Jensen Beach, FL 34957-4705

Phone

(772) 225-1224

NPI assigned

Dec 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Debbie Mulach

Title

Office Manager

Phone

(772) 225-1224

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Williams, PHD

  • Counseling Psychologist
  • Fort Lauderdale, FL
  • NPI 1285723668
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1013199082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574705",
            "telephone_number": "772-225-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 NE JENSEN BEACH BLVD",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574705",
            "telephone_number": "772-225-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBIELLA CENTER FOR CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "MULACH",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-225-1224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "650238748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. NPI #",
            "identifier": "1568551828",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. NPI #",
            "identifier": "1285723668",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher W Kindig, DMD, PA
• Robert K Chua, M.D.
• Matthew M Cianfrani, PH.D.
• Kimberly Ann Cittadino
• Jessie Clifford
• Coding & Reimbursement Soultion
• Cohen Fashion Optical, LLC
• Jane Cohn, PHYSICIAN ASSISTANT
• Evan Collins, MD
• Antonella Colman, LCSW

• All providers in Jensen Beach, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.