Active NPI
The Center for Change LLC
- Clinical Psychologist
- Las Vegas, NV
National Provider Identifier
1689142945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- THE CENTER FOR CHANGE LLC
- Practice address
- 4535 W Russell Rd Ste 15
Las Vegas, NV 89118-2258 - Phone
- (702) 368-2380
- Fax
- (702) 368-2380
- NPI assigned
- Nov 5, 2018
- Last updated
- Nov 6, 2019
- 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
- Morgan Rodriguez
- Title
- Manager
- Phone
- (702) 945-8846
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Psychologist | 103T00000X | NU | ||
| Clinical Psychologist | 103TC0700X | NU | Primary | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU | ||
| Behavior Analyst | 103K00000X | NU |
Addresses
Primary practice location
4535 W Russell Rd Ste 15
Las Vegas, NV 89118-2258
Mailing address
4535 W Russell Rd Ste 15
Las Vegas, NV 89118-2258
Phone (702) 368-2380
National Provider Directory
National Provider DirectoryLocations
4535 W Russell Rd
Ste 15
Las Vegas, NV 89118
Phone (702) 368-2380
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1033282264
-
- Behavior Technician
- Las Vegas, NV
- NPI 1376901918
-
- Technician
- Las Vegas, NV
- NPI 1679181796
-
- Behavior Technician
- Las Vegas, NV
- NPI 1629659198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572998400000",
"number": "1689142945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 W RUSSELL RD STE 15",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182258",
"telephone_number": "702-368-2380",
"fax_number": "702-368-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 W RUSSELL RD STE 15",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182258",
"telephone_number": "702-368-2380",
"fax_number": "702-368-2380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CENTER FOR CHANGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-05",
"last_updated": "2019-11-06",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "MORGAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-945-8846"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- The Cataract Vision Institute LLC
- The Center for Behavioral Health Services
- The Center for Behavioral Health Services
- The Center for Behavioral Health Services Inc
- The Center for Change LLC (Center for Change)
- The City of Las Vegas
- The City of Las Vegas
- The Connected Voice Center LLC
- The Crisis Group LLC
- The Dandelion LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.