Change Your Mind, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05231700 Issued in NJ

Legal business name

CHANGE YOUR MIND, LLC

Practice address

210 W Front St Ste 208
Red Bank, NJ 07701-1171

Phone

(732) 996-4829

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Faye Ellen Scholz, MSW, LCSW, LCADC

Title

Owner

Phone

(732) 775-1381

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1659517472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CENTRAL AVE",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561101",
            "telephone_number": "732-775-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W FRONT ST STE 208",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011171",
            "telephone_number": "732-996-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE YOUR MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "SCHOLZ",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-775-1381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05231700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilyann Cespuglio
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• Charlie Jijer Changchien, M.D.
• Changing Tides Psychiatry
• Chat N Relax Counseling & Consultation, LLC
• Edgar Y Chen, M.D.
• Cherubini Chiropractic
• Casey L Cherubini, D.C.

• Clinical Social Worker in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.