Change the Narrative Counseling LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

CHANGE THE NARRATIVE COUNSELING LLC

Practice address

20417 Berrywood LN
Tampa, FL 33647-3476

Phone

(813) 816-2766

NPI assigned

Jun 23, 2020

Last updated

Jun 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Malik Dehili, PHDNPI 1598267445

Title

Licensed Psychologist

Phone

(386) 852-8097

Specialties & licenses 3

Addresses

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.

• Vincent Malik Dehili, PH.D.

  • Psychologist
  • St Petersburg, FL
  • NPI 1598267445
  NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1538785837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 BRUCE B DOWNS BLVD",
            "address_2": "PMB 174",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "813-816-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20417 BERRYWOOD LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473476",
            "telephone_number": "813-816-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE THE NARRATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "DEHILI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "MALIK",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "386-852-8097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Chang, M.D.,FACP,FACG
• Juliana Y. Chang, DMD
• Peter Travis Riad Chang, M.D.
• Simone M Chang, MD
• Young Doo Chang, M.D.
• Varun Channagiri, M.D.
• Kimberly Anne Channels, PA
• Channelside Optical LLC (Opes Optical)
• Arthur Channer, PSY.D., BCBA-D
• Aimon Amy Chantara, PHARMD

• Counseling Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.