Change Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CHANGE INC

Practice address

1251 S Main St
Middletown, CT 06457-5050

Phone

(860) 346-0771

Fax

(860) 346-0772

NPI assigned

Apr 10, 2012

Last updated

May 13, 2015By 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

Mr. Derrick Christopher Gibbs Jr.

Title

President / C.E.O.

Phone

(860) 346-0771

Specialties & licenses 4

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIGHAD

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1316203706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575050",
            "telephone_number": "860-346-0771",
            "fax_number": "860-346-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575050",
            "telephone_number": "860-346-0771",
            "fax_number": "860-346-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT / C.E.O.",
        "authorized_official_telephone_number": "860-346-0771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsamma Chacko, MD
• Amy Chai, MD
• Joy E Chance
• Hana Chang, LCSW
• Johnny A. Chang, M.D.
• Change, Inc
• Clara Fellows Chapman, PH.D.
• Sherie L Chapman, LCSW
• John Chardavoyne, MD
• Kristen Charpentier, MSW

• Case Management Agency in Middletown, CT
• Providers in Middletown, CT by specialty
• Case Management Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.