Changing Lives

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CHANGING LIVES

Practice address

17637 W Buchanan St
Goodyear, AZ 85338-2577

Phone

(623) 337-2275

Fax

(623) 440-6557

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Patricia PlumNPI 1750894267

Title

Partner

Phone

(623) 337-2275

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Patricia Ann Plum, LCSW

  • Clinical Social Worker
  • Goodyear, AZ
  • NPI 1750894267
  Authorized official Same address or phone

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1508453887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7405",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380641",
            "telephone_number": "623-337-2275",
            "fax_number": "623-440-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17637 W BUCHANAN ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382577",
            "telephone_number": "623-337-2275",
            "fax_number": "623-440-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "PLUM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "623-337-2275"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@changinglivesaz.org",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17637 W Buchanan St",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853382577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joy Chandler, MDA, RD
• Tonia Denice Chandler, DNP, CPNP, FNP-BC
• Sharad Chandrika, M.D.
• Joseph He Chang, D.D.S.
• Ryan Chang, PA-C
• Linda Chapman, LPN
• Charles Residential Care LLC
• Paul Scott Charnetsky, M.D.
• Daniel D Charous, MD
• Genevieve Chavannes, SPEECH LANGUAGE PATH

• Mental Illness Community Based Residential Treatment Facility in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.