NPIMap

Organization Active NPI

Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Show Low, AZ
National Provider Identifier
1689212508
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHANGEPOINT INTEGRATED HEALTH
Practice address
1500 S White Mountain Rd BLDG 3
Show Low, AZ 85901-7111
Phone
(928) 537-2951
NPI assigned
Dec 11, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CHANGEPOINT INTEGRATED HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Michele Hospodka
Title
Billing/Credentialing
Phone
(928) 537-2951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1500 S White Mountain Rd BLDG 3
Show Low, AZ 85901-7111

Mailing address

1801 W Deuce of Clubs Ste 100
Show Low, AZ 85901-2704
Phone (928) 537-2951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625001074 AZ Part B Supplier - Clinic/Group Practice 8123004587 Receives reassigned benefits from 36 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winslow, AZ; Snowflake, AZ; Pinetop, AZ; Show Low, AZ; Holbrook, AZ; Lakeside, AZ

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Community Counseling Centers Inc

Locations

105 N 5th Ave
Holbrook, AZ 86025
Phone (928) 524-6126

1251 N Miller Rd
Scottsdale, AZ 85257

8350 E Raintree Dr
Scottsdale, AZ 85260
Phone (602) 688-9198

8350 E Raintree Dr
Ste 124
Scottsdale, AZ 85260

1500 S White Mountain Rd
Bldg 3
Show Low, AZ 85901
Phone (284) 325-8389

2500 E Show Low Lake Rd
Bldg Ab
Show Low, AZ 85901

537 S Main St
Snowflake, AZ 85937

1015 E Second St
Winslow, AZ 86047
Phone (928) 289-4658

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1689212508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W DEUCE OF CLUBS STE 100",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859012704",
            "telephone_number": "928-537-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WHITE MOUNTAIN RD BLDG 3",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017111",
            "telephone_number": "928-537-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGEPOINT INTEGRATED HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANGEPOINT INTEGRATED HEALTH",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "HOSPODKA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "928-537-2951"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.