Change Behavioral Health Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHANGE BEHAVIORAL HEALTH SERVICES LLC

Practice address

18310 Montgomery Village Ave Ste 300
Gaithersburg, MD 20879-3552

Phone

(240) 830-1358

Fax

(301) 732-7725

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Chimene Kiswey Diomi, CRNP-PMHNPI 1578076634

Title

Owner

Phone

(240) 401-3062

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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.

• Chimene Kiswey Diomi, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1578076634
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1306469952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 LIGHTHOUSE LNDG",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019306",
            "telephone_number": "240-830-1358",
            "fax_number": "301-732-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 300",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793552",
            "telephone_number": "240-830-1358",
            "fax_number": "301-732-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "DIOMI",
        "authorized_official_first_name": "CHIMENE",
        "authorized_official_middle_name": "KISWEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-401-3062",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bete Chane
• Gisele Azeufack Dongmo Mimi Chanelle
• Lee-Jah Chang, MD
• Michael Chang, D.D.S.
• Susan L Chang, MD
• Alexandra Chapman, R.N.
• Taoufik Charfi, PT
• Chandra Shekhar Chaurasia, PH.D, R.PH.
• Jamie Cheeks
• Anthony Chen, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.