The Change Group, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE CHANGE GROUP, LLC

Practice address

1636 Jenna PL
Santa Rosa, CA 95403-8614

Phone

(707) 230-2180

Fax

(707) 230-2180

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Michael Emillio Chatham, SUDCC11NPI 1811021850

Title

Administrator

Phone

(707) 695-2387

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Chatham

  • Addiction (Substance Use Disorder) Counselor
  • Santa Rosa, CA
  • NPI 1811021850
  NPD Authorized official

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1487407136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 BRUNELLO DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076555",
            "telephone_number": "707-695-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 JENNA PL",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038614",
            "telephone_number": "707-230-2180",
            "fax_number": "707-230-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHANGE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "CHATHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EMILLIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-695-2387",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SUDCC11"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Thalhamer, D.C.
• Kelsey Nicole Thayer, PA-C
• Wendy Ann Thayer, L.AC.
• The Annadel Group
• The Center for Body Oriented Psychotherapy & Wellness
• The Six Physical Therapy Clinic
• The Spalding Group Inc
• The Surgery Suite
• Tonya Tannial Thein
• Clare Theisen, PT, DPT

• Substance Abuse Rehabilitation Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.