Change Lanes Youth Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10007140 Issued in CA

Legal business name

CHANGE LANES YOUTH SUPPORT SERVICES

Practice address

45118 13TH St W
Lancaster, CA 93534-2156

Phone

(661) 948-5555

Fax

(661) 878-9130

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia D. Hunter-Spears, MA, CATCNPI 1669948832

Title

Executive Director

Phone

(661) 948-2555

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Change Lanes Former legal business name

Locations

Practitioners 2

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

• Cynthia Diane Hunter-Spears, MA, LAADC

  • Addiction (Substance Use Disorder) Counselor
  • Lancaster, CA
  • NPI 1669948832
  NPD Authorized official
• La Rae C Neal, PSYD

  • Clinical Psychologist
  • Lancaster, CA
  • NPI 1124540497
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1407035918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45118 13TH STREET WEST",
            "address_2": "UNIT 1D",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342156",
            "telephone_number": "661-948-2555",
            "fax_number": "661-878-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45118 13TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342156",
            "telephone_number": "661-948-5555",
            "fax_number": "661-878-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE LANES YOUTH SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "HUNTER-SPEARS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-948-2555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CATC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "10007140",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "10007140",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "10023326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952597627",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669948832",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750686598",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197467",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change Lanes",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Change Lanes",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katherine Chandler
• Timothy Chandler, D.O.
• Canagaretnam Chandradas, M.D.
• Patalappa Chandrashekar, M.D.
• Zelena Chaney, RBT
• Dana T Chapple, CADC
• Kyriacos Charalambides, M.D.
• Kellye Charles
• Byron Chatman
• Suzanne Jose Chaudhry, M.D.

• Community/Behavioral Health Agency in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.