Organization Active NPI

Culture Change Project, LLC

  • Community/Behavioral Health Agency
  • Cambridge, MA
National Provider Identifier
1659932515
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CULTURE CHANGE PROJECT, LLC
Practice address
1158 Massachusetts Ave Unit 306
Cambridge, MA 02138-5205
Phone
(617) 402-5653
NPI assigned
Jun 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Ramsey Champagne, LMHCNPI 1548520729
Title
Director
Phone
(479) 595-4077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1158 Massachusetts Ave Unit 306
Cambridge, MA 02138-5205

Mailing address

82 Normandy Ave
Cambridge, MA 02138-1017
Phone (479) 595-4077

Other identifiers 1

IdentifierTypeStateIssuer
1548520729MedicaidAR

National Provider Directory

National Provider Directory

Locations

1158 Massachusetts Ave
Unit 306
Cambridge, MA 02138
Phone (617) 402-5653

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1659932515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 NORMANDY AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381017",
            "telephone_number": "479-595-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 MASSACHUSETTS AVE UNIT 306",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385205",
            "telephone_number": "617-402-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTURE CHANGE PROJECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "RAMSEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-595-4077",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548520729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.