NPIMap

Organization Active NPI

Center for Positive Changes

Doing business as Center for Positive Changes 6

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Spring Valley, CA
National Provider Identifier
1033659701
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CENTER FOR POSITIVE CHANGES
Doing business as
Center for Positive Changes 6
Practice address
9671 Kenora LN
Spring Valley, CA 91977-2902
Phone
(619) 741-8006
NPI assigned
Mar 1, 2017
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Deanna Mellos
Title
Director
Phone
(619) 248-0552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

9671 Kenora LN
Spring Valley, CA 91977-2902

Mailing address

PO Box 1154
Lemon Grove, CA 91946-1154
Phone (619) 660-3886

Other names 1

  • Center for Positive Changes 6 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Positive Changes9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1033659701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1154",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919461154",
            "telephone_number": "619-660-3886",
            "fax_number": "619-660-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 KENORA LN",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919772902",
            "telephone_number": "619-741-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR POSITIVE CHANGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "MELLOS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-248-0552"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Positive Changes 6",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.