Positive Change Therapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POSITIVE CHANGE THERAPY, PLLC

Practice address

422 Highland Ave Ste 5
Cheshire, CT 06410-2526

Phone

(203) 651-9255

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Byers, LCSWNPI 1639440969

Title

Clinical Social Worker

Phone

(203) 651-9255

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Jessica Byers, LCSW

  • Clinical Social Worker
  • Bristol, CT
  • NPI 1639440969
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1154965150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PAYNE DR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101752",
            "telephone_number": "860-651-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 HIGHLAND AVE STE 5",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102526",
            "telephone_number": "203-651-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "203-651-9255",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004025193",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Planeta, PT
• Suzan Plowman
• Danielle Rose Poirier
• Gianna Polletta, OT
• Megan Porto, M.S., CCC-SLP
• Positive Outlooks: Therapeutic Connections, LLC
• Sandra R Potyrala, PT
• Paul Poutouves, DPT
• Chelsea Rose Powell, LCSW
• Premier Psychiatric Services LLC

• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.