Changing Patterns Psychotherapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHANGING PATTERNS PSYCHOTHERAPY SERVICES, LLC

Doing business as

Changing Patterns Psychotherapy Services

Practice address

420 Chinquapin Round Rd Ste 2I
Annapolis, MD 21401-4006

Phone

(443) 261-5950

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By 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

Kerry Ellis

Title

Owner

Phone

(443) 261-5950

Specialties & licenses 1

Addresses

Other names 1

• Changing Patterns Psychotherapy Services Doing business as

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1134893522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHINQUAPIN ROUND RD STE 2I",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014006",
            "telephone_number": "443-261-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHINQUAPIN ROUND RD STE 2I",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014006",
            "telephone_number": "443-261-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING PATTERNS PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-261-5950"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing Patterns Psychotherapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wai Lap Chan, PHARMD
• Maegan Renee Chaney, MD
• Stephanie Chaney, D.C.
• Thomas Andrew Chaney, D.C.
• Luke Yuung-Jier Chang, MD
• Diane Leslie Channas, LCSW-C
• Megan Chapman, DPT
• James Edward Chappell, M.D.
• Casey Chappelle
• Charlotte Callens, LLC

• Clinical Social Worker in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.