Active NPI
Changes Healing Center LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Phoenix, AZ
National Provider Identifier
1659083863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- CHANGES HEALING CENTER LLC
- Practice address
- 29 W Thomas Rd Ste 205
Phoenix, AZ 85013-4412 - Phone
- (602) 290-1681
- NPI assigned
- Dec 19, 2022
- Last updated
- Dec 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Anderson
- Title
- Ceo
- Phone
- (602) 290-1681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary |
Addresses
Primary practice location
29 W Thomas Rd Ste 205
Phoenix, AZ 85013-4412
Mailing address
29 W Thomas Rd Ste 205
Phoenix, AZ 85013-4412
Phone (602) 290-1681
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2282551 | Changes Healing Center LLC | Certificate of waiver | May 22, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Changes Healing Center LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Laveen, AZ
- NPI 1235006834
-
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1346912904
-
- Substance Abuse Rehabilitation Facility
- Scottsdale, AZ
- NPI 1619768603
Locations
29 W Thomas Rd
Ste 205
Phoenix, AZ 85013
Phone (602) 273-9222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1659083863",
"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": "29 W THOMAS RD STE 205",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134412",
"telephone_number": "602-290-1681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGES HEALING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-290-1681"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Victoria Chang, PHARMD
- Jamie Elizabeth Changa, APRN, PMHNP-BC
- Change Academy at Lake of the Ozarks (Embark Behavioral Health)
- Change Agents of Social Services LLC
- Changes Healing Center LLC
- Changing Lives Family Services, LLC
- Changing Lives Therapy LLC
- Elaine Chanin, NP
- Peter Craig Chanin, M.D.
- Reema Tarun Channa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.