Change Point Behavioral Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHANGE POINT BEHAVIORAL HEALTH LLC

Practice address

104 Bala Ave
Bala Cynwyd, PA 19004-3038

Phone

(267) 438-2500

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly T. Gray, LCSWNPI 1972067999

Title

Owner/Executive Director

Phone

(267) 438-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kimberly Gray, MBA, MSS, MLSP, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1972067999
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1659969459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 GERMANTOWN AVE FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441907",
            "telephone_number": "215-450-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043038",
            "telephone_number": "267-438-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE POINT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-438-2500",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D. Cautilli, PH.D
• Center for Healing and Development, PLLC
• Center for Loss and Recovery LLC
• Courtney Chan
• Mason Jung Chan, PHARMD
• Gordana Chelsvig, R.D., LDN
• Albert Cheng
• Sofia Michelle Chernoff, PSYD
• Raynard J Cheung, M.D.
• Child & Family Resiliency Project

• Mental Health Counselor in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.