Organization Active NPI

Changes Healing Center LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
National Provider Identifier
1619768603
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CHANGES HEALING CENTER LLC
Practice address
33101 N 82ND St
Scottsdale, AZ 85266-1316
Phone
(602) 290-1681
NPI assigned
May 16, 2025
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Johnathan Anderson
Title
Ceo
Phone
(602) 290-1681

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

33101 N 82ND St
Scottsdale, AZ 85266-1316

Mailing address

29 W Thomas Rd Ste 205
Phoenix, AZ 85013-4412
Phone (602) 290-1681

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2320897Changes Healing Center, LLC33101 N 82ND St, Scottsdale, AZ 85266Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Changes Healing Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1619768603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W THOMAS RD STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134412",
            "telephone_number": "602-290-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33101 N 82ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661316",
            "telephone_number": "602-290-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-290-1681"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.