Catalyst for Change LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5826 Issued in FL

Legal business name

CATALYST FOR CHANGE LLC

Practice address

2101 Park Center Drive
Suite 270
Orlando, FL 32835

Phone

(407) 523-1213

Fax

(407) 523-2398

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Samia Husni, PHD

Title

Owner Registered Agewnt

Phone

(407) 968-6723

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093892671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 SHADE TREE LOOP",
            "address_2": "STE 90",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32810",
            "telephone_number": "407-968-6723",
            "fax_number": "407-294-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PARK CENTER DRIVE",
            "address_2": "SUITE 270",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32835",
            "telephone_number": "407-523-1213",
            "fax_number": "407-523-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSNI",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "OWNER REGISTERED AGEWNT",
        "authorized_official_telephone_number": "407-968-6723",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "21491",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51415",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Castrodad, OTR/L
• Kelsey Joy Castroverde
• Aixa I Catala-Beauchamp, ARNP
• Nicolette Gloria Catalano, L.M.T
• Christopher Catalfo, D.C.
• Lilliana Catano
• Cater 2 Touch LLC
• Nicole M Cater
• Pamela C Cates-Smith, M.D.
• Catherine R Zelner MD PA

• Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.