NPIMap

Organization Active NPI

Center for Change & Growth PLC

  • Adult Mental Health Clinic/Center
  • Paw Paw, MI
National Provider Identifier
1649459132
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CENTER FOR CHANGE & GROWTH PLC
Practice address
816 E Michigan Ave Ste 101
Paw Paw, MI 49079-1462
Phone
(269) 657-5800
Fax
(269) 657-8939
NPI assigned
Oct 31, 2007
Last updated
Nov 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Authorized official

Name
Susan Marie Carter, PHD
Title
Clinical Director Owner
Phone
(269) 657-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

816 E Michigan Ave Ste 101
Paw Paw, MI 49079-1462

Mailing address

816 E Michigan Ave Ste 101
Paw Paw, MI 49079
Phone (269) 657-5800

National Provider Directory

National Provider Directory

Locations

3331 Greenleaf Blvd
Kalamazoo, MI 49008

304 W Michigan Ave
Paw Paw, MI 49079
Phone (269) 657-5800

816 E Michigan Ave
Paw Paw, MI 49079

816 E Michigan Ave
Ste 101
Paw Paw, MI 49079
Phone (269) 657-5800

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1649459132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 E MICHIGAN AVE STE 101",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "49079",
            "telephone_number": "269-657-5800",
            "fax_number": "269-657-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E MICHIGAN AVE STE 101",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791462",
            "telephone_number": "269-657-5800",
            "fax_number": "269-657-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CHANGE & GROWTH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR OWNER",
        "authorized_official_telephone_number": "269-657-5800",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paw Paw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.