Changed by Christ Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHANGED BY CHRIST INC

Practice address

4919 S Catherine St
Plattsburgh, NY 12901-3658

Phone

(518) 570-8202

NPI assigned

Dec 29, 2023

Organization subpart

No

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

Authorized official

Name

Colleen Manney

Title

Owner

Phone

(518) 570-8202

Specialties & licenses 1

Addresses

Tax ID family

Changed by Christ Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Changed by Christ Inc

  • Case Management Agency
  • Plattsburgh, NY
  • NPI 1346082609
  NPD tax ID

Locations

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741478400000",
    "number": "1548039654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 E MOLLOY RD STE 143",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132112020",
            "telephone_number": "518-570-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 S CATHERINE ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013658",
            "telephone_number": "518-570-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGED BY CHRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "MANNEY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-570-8202"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Psychiatric Associates
• Champlain Valley Vascular Surgery
• Changed by Christ Inc
• Laci Charette, PSY.D.
• Louis-Philippe Charette, MD
• Scott Thomas Charette
• Justin Charland, DPT
• Jenica Charles

• All providers in Plattsburgh, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; 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.