NPIMap

Organization Active NPI

Committed to Change,P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annapolis, MD
National Provider Identifier
1265812549
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MH-1559 Issued in MD
Legal business name
COMMITTED TO CHANGE,P.C.
Practice address
420 Chinquapin Round Rd
Suite 2-I
Annapolis, MD 21401-4006
Phone
(410) 990-1811
Fax
(410) 990-0081
NPI assigned
Jun 2, 2015
Last updated
Nov 22, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMITTED TO CHANGE P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Dr. Rajendra Lowtan, M.D.NPI 1467474049
Title
Ceo/Medical Director
Phone
(410) 990-1811

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MH-1559 MD Primary

Addresses

Primary practice location

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

Mailing address

420 Chinquapin Round Rd Ste 2-I2K2L
Annapolis, MD 21401-4006
Phone (410) 990-1811

Other identifiers 1

IdentifierTypeStateIssuer
7586035-01MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Committed to Change13 organizations share this tax ID, including this one
Part of
Committed to Change

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1265812549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 CHINQUAPIN ROUND RD STE 2-I2K2L",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014006",
            "telephone_number": "410-990-1811",
            "fax_number": "410-990-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHINQUAPIN ROUND RD",
            "address_2": "SUITE 2-I",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014006",
            "telephone_number": "410-990-1811",
            "fax_number": "410-990-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED TO CHANGE,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMITTED TO CHANGE P.C.",
        "enumeration_date": "2015-06-02",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "LOWTAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-990-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "MH-1559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7586035-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

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