Active NPI
Change-Well PLLC
- Group Psychotherapy Psychologist
- Plano, TX
National Provider Identifier
1184239170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- CHANGE-WELL PLLC
- Practice address
- 1820 Preston Park Blvd Ste 2200
Plano, TX 75093-3614 - Phone
- (972) 427-2050
- NPI assigned
- Sep 15, 2020
- Last updated
- Dec 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diann Sanford, PSYD
- Title
- Owner
- Phone
- (972) 589-8121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Counseling Psychologist | 103TC1900X | |||
| Group Psychotherapy Psychologist | 103TP2701X | Primary |
Addresses
Primary practice location
1820 Preston Park Blvd Ste 2200
Plano, TX 75093-3614
Mailing address
1820 Preston Park Blvd Ste 2200
Plano, TX 75093-3614
Phone (972) 589-8121
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Psychologist
- Plano, TX
- NPI 1912414541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670889600000",
"number": "1184239170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 PRESTON PARK BLVD STE 2200",
"city": "PLANO",
"state": "TX",
"postal_code": "750933614",
"telephone_number": "972-589-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 PRESTON PARK BLVD STE 2200",
"city": "PLANO",
"state": "TX",
"postal_code": "750933614",
"telephone_number": "972-427-2050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGE-WELL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-15",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A",
"authorized_official_last_name": "SANFORD",
"authorized_official_first_name": "DIANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-589-8121",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.