4Changeproject, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

4CHANGEPROJECT, INC

Practice address

108 Chamfer PL
Durham, NC 27704-6120

Phone

(919) 491-1512

Fax

(919) 294-6852

NPI assigned

May 17, 2009

Last updated

May 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen Louise Wright, CSAC

Title

President/Ceo

Phone

(919) 491-1512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242518400000",
    "number": "1063647378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CHAMFER PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277046120",
            "telephone_number": "919-491-1512",
            "fax_number": "919-294-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHAMFER PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277046120",
            "telephone_number": "919-491-1512",
            "fax_number": "919-294-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4CHANGEPROJECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-17",
        "last_updated": "2009-05-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "919-491-1512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; 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.