Organization Active NPI

Change Points Coaching and Consulting, LLC

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1497078133
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CHANGE POINTS COACHING AND CONSULTING, LLC
Practice address
8149 N 87TH PL
Suite 200
Scottsdale, AZ 85258-4399
Phone
(480) 292-7435
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Rosalie Hydock, PH.D.NPI 1891975421
Title
Owner/Psychologist
Phone
(480) 292-7435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

8149 N 87TH PL
Suite 200
Scottsdale, AZ 85258-4399

Mailing address

6929 N Hayden Rd
C-4 #460
Scottsdale, AZ 85250-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000390 AZ Part B Supplier - Clinic/Group Practice 5496880163 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8149 N 87th Pl
Ste 200
Scottsdale, AZ 85258
Phone (480) 292-7435

Practitioners & affiliated clinicians

Practitioners 1

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": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1497078133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 N HAYDEN RD",
            "address_2": "C-4 #460",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8149 N 87TH PL",
            "address_2": "SUITE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584399",
            "telephone_number": "480-292-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE POINTS COACHING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "HYDOCK",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-292-7435",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.