Change Az

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHANGE AZ

Doing business as

Change Az

Practice address

6692 E Via Jardin Verde
Tucson, AZ 85756-0022

Phone

(520) 276-6893

NPI assigned

Mar 9, 2021

Last updated

Feb 21, 2024By 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

Dr. Tiffany C Ruelaz, PH.D, LPCNPI 1831643097

Title

Ceo

Phone

(623) 632-9586

Specialties & licenses 1

Addresses

Other names 1

• CHANGE AZ Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Change, LLC

  • Counseling Psychologist
  • Tucson, AZ
  • NPI 1427702588
  NPPES parent name

Practitioners 1

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.

• Tiffany Ruelaz, PH.D, LPC

  • Professional Counselor
  • Tucson, AZ
  • NPI 1831643097
  NPD Authorized official

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1073108254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6692 E VIA JARDIN VERDE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857560022",
            "telephone_number": "520-276-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 E VIA JARDIN VERDE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857560022",
            "telephone_number": "520-276-6893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6026 S Cedar Elm Ln",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857478990",
            "country_code": "US",
            "telephone_number": "623-632-9586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANGE AZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "RUELAZ",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-632-9586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHANGE AZ",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHANGE AZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristopher Chang, PT, DPT
• Michelle Chang
• Morgan Chang, DO
• Sarah Chang, D.M.D.
• Su-Wen Chang, D.D.S.
• Change, LLC
• Changing Lanes Recovery, Inc
• Changing Perceptions LLC
• Amanda Channer
• Jiravud Chanvitayapongs, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.