Foundations for Change PLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

AP2472 Issued in AZ

Legal business name

FOUNDATIONS FOR CHANGE PLC

Practice address

3841 N 24TH St
Phoenix, AZ 85016-6512

Phone

(602) 368-8311

Fax

(602) 368-8318

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Jeffrey S Edelman, N.P.

Title

Owner

Phone

(602) 368-8311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1467729640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166512",
            "telephone_number": "602-368-8311",
            "fax_number": "602-368-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166512",
            "telephone_number": "602-368-8311",
            "fax_number": "602-368-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FOR CHANGE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-368-8311",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP2472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neema Fotoohi, DPT
• Kaowther Fouani
• Jessica Lynn Foulk
• Foundation for Blind Children
• Foundation for Counseling LLC
• Founders Healthcare, LLC
• Founders Healthcare, LLC
• Foundry Pediatric Behavioral Health LLC
• Fountain Home Health Inc
• Nicole Fountain

• Psychiatric/Mental Health Clinical Nurse Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.