Changes1, PLLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

SA0823228 Issued in MI

Legal business name

CHANGES1, PLLC

Doing business as

Changes 1, LLC

Practice address

19940 Conant
Ste a, B, & C
Detroit, MI 48234-1494

Phone

(313) 305-4180

Fax

(313) 733-8190

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Naomi Diana Taylor, LPN

Title

Vice-President

Phone

(313) 695-3951

Specialties & licenses 2

Addresses

Other names 1

• Changes 1, LLC Doing business as

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1578960480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19940 CONANT",
            "address_2": "STE A, B, & C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341494",
            "telephone_number": "313-305-4180",
            "fax_number": "313-733-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19940 CONANT",
            "address_2": "STE A, B, & C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341494",
            "telephone_number": "313-305-4180",
            "fax_number": "313-733-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES1, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "313-695-3951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "SA0823228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changes 1, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nile Yu CHI Chang, MD
• Steven Shih-Wei Chang, M.D.
• Tiffany Chang, M.D.
• Victor Weichi Chang, M.D.
• Changes
• Changing Lives and Staying Sober
• Rosina Channell, BSW
• Chapel Hill Housing
• Ted Edward Chaperon
• Amanda Raeann Chiu Chapin, FNP

• Methadone Clinic in Detroit, MI
• Providers in Detroit, MI by specialty
• Methadone Clinic in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.