NPIMap

Organization Active NPI

The Center for Change, LLC

  • Psychologist
  • Warwick, RI
National Provider Identifier
1376892679
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
THE CENTER FOR CHANGE, LLC
Practice address
1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665
Phone
(401) 465-2670
Fax
(401) 270-0660
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Dr. Kristin A David, PSY.D.
Title
Licensed Clinical Psychologist
Phone
(401) 465-2670

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665

Mailing address

1045 Warwick Ave
Suite 101
Warwick, RI 02888-3665
Phone (401) 465-2670

National Provider Directory

National Provider Directory

Locations

1045 Warwick Ave
Ste 101
Warwick, RI 02888
Phone (401) 465-2670

Interoperability endpoints

  • Direct secure messaging: kathryn@direct.centerforchangeri.com
  • Direct secure messaging: elizabeth@direct.centerforchangeri.com
  • Direct secure messaging: kristin@direct.centerforchangeri.com
  • Direct secure messaging: admin@direct.centerforchangeri.com

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1376892679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 WARWICK AVE",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883665",
            "telephone_number": "401-465-2670",
            "fax_number": "401-270-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WARWICK AVE",
            "address_2": "SUITE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883665",
            "telephone_number": "401-465-2670",
            "fax_number": "401-270-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "401-465-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.