Organization Active NPI

Change Treatment LLC

Doing business as Change Treatment Centers

  • Addiction Medicine (Family Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1497256820
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
R170382 Issued in MD
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.