Active NPI
Change Treatment LLC
Doing business as Change Treatment Centers
- Addiction Medicine (Family Medicine) Physician
- Baltimore, MD
National Provider Identifier
1497256820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- R170382
- Legal business name
- CHANGE TREATMENT LLC
- Doing business as
- Change Treatment Centers
- Practice address
- 2926 E Cold Spring LN Ste 3
Baltimore, MD 21214-2800 - Phone
- (443) 650-8494
- Fax
- (888) 712-2405
- NPI assigned
- Feb 21, 2018
- Last updated
- Feb 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Were, MBA, MSC
- Title
- Director
- Phone
- (410) 831-5756
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | R170382 | MD | Primary |
Addresses
Primary practice location
2926 E Cold Spring LN Ste 3
Baltimore, MD 21214-2800
Mailing address
806 Roundtop CT Apt 3a
Lutherville Timonium, MD 21093-5041
Phone (410) 831-5756
Other names 1
- Change Treatment Centers
National Provider Directory
National Provider DirectoryLocations
2926 E Cold Spring Ln
Ste 3
Baltimore, MD 21214
Phone (443) 650-8494
2926 E Cold Spring Ln
Ste 3F
Baltimore, MD 21214
Phone (443) 914-3232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1316256068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1497256820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 ROUNDTOP CT APT 3A",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210935041",
"telephone_number": "410-831-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2926 E COLD SPRING LN STE 3",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212142800",
"telephone_number": "443-650-8494",
"fax_number": "888-712-2405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGE TREATMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "WERE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "410-831-5756",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA, MSC"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MD",
"license": "R170382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Change Treatment Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
- Change Health Systems, Inc
- Change Health Systems, Inc
- Change Health Systems, Inc.
- Change of Pace Counseling Services LLC
- Change Reaction Baltimore
- Changes for the Better LLC
- Changing All Directions Inc.
- Changing Directions
- Changing Faces Health and Therapeutic Services Inc
- Changing Faces Health and Therapeutic Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.