NPIMap

Organization Active NPI

Impactful Changes Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1437931144
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IMPACTFUL CHANGES INC
Practice address
2235 W Saratoga St
Baltimore, MD 21223-1509
Phone
(443) 473-3416
NPI assigned
Oct 17, 2023
Organization subpart
Yes
Parent organization
IMPACTFUL CHANGES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Ms. Arika Davenport
Title
Ceo
Phone
(144) 347-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2235 W Saratoga St
Baltimore, MD 21223-1509

Mailing address

619 Tunbridge Rd
Baltimore, MD 21212-3925
Phone (443) 473-3416

Other names 1

  • Impactful Changes Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Impactful Changes2 organizations share this tax ID, including this one
Part of
Impactful Changes

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1437931144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 TUNBRIDGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123925",
            "telephone_number": "443-473-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 W SARATOGA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231509",
            "telephone_number": "443-473-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTFUL CHANGES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPACTFUL CHANGES INC",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "ARIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "144-347-3341",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impactful Changes Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.