NPIMap

Organization Active NPI

Insight Based Change, LLC

  • Point of Service
  • Doylestown, PA
National Provider Identifier
1104456490
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
INSIGHT BASED CHANGE, LLC
Practice address
220 Farm LN
Doylestown, PA 18901-4714
Phone
(215) 313-7278
NPI assigned
Jan 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Ms. Connie Eriksson, RN MSN CSNPI 1114120326
Title
Owner/Psychotherapist
Phone
(215) 313-7278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

220 Farm LN
Doylestown, PA 18901-4714

Mailing address

221 Woodland Dr
New Britain, PA 18901-5247
Phone (215) 313-7278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200129000038 PA Part B Supplier - Clinic/Group Practice 6103252846 Receives reassigned benefits from 1 practitioner
Practice locations: Doylestown, PA

National Provider Directory

National Provider Directory

Locations

220 Farm Ln
Doylestown, PA 18901
Phone (215) 220-4559

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1104456490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WOODLAND DR",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015247",
            "telephone_number": "215-313-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FARM LN",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014714",
            "telephone_number": "215-313-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT BASED CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "ERIKSSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "215-313-7278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MSN CS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.