Organization Active NPI

Center of Change, L.L.C.

  • Psychologist
  • Springfield, MO
National Provider Identifier
1508169756
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY01872 Issued in MO
Legal business name
CENTER OF CHANGE, L.L.C.
Practice address
636 W Republic Rd
C116
Springfield, MO 65807-5818
Phone
(417) 888-0886
Fax
(417) 888-0846
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Dr. Amy L. Meriweather, PH.D.
Title
Owner/Psychologist
Phone
(417) 888-0886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY01872 MO Primary

Addresses

Primary practice location

636 W Republic Rd
C116
Springfield, MO 65807-5818

Mailing address

636 W Republic Rd
C116
Springfield, MO 65807-5818
Phone (417) 888-0886

National Provider Directory

National Provider Directory

Locations

636 W Republic Rd
Ste C116
Springfield, MO 65807
Phone (417) 866-7773

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1508169756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "C116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075818",
            "telephone_number": "417-888-0886",
            "fax_number": "417-888-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD",
            "address_2": "C116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075818",
            "telephone_number": "417-888-0886",
            "fax_number": "417-888-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF CHANGE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "MERIWEATHER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-888-0886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.