NPIMap

Organization Active NPI

Upward Change Health Services

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1699197871
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-032-540 Issued in NC
Legal business name
UPWARD CHANGE HEALTH SERVICES
Practice address
807 E Main St Ste 4105
Durham, NC 27701-4076
Phone
(919) 422-3036
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Misty Alston
Title
Director
Phone
(919) 422-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-032-540 NC Primary

Addresses

Primary practice location

807 E Main St Ste 4105
Durham, NC 27701-4076

Mailing address

807 E Main St Ste 2120
Durham, NC 27701-4099
Phone (919) 422-3036

Other identifiers 1

IdentifierTypeStateIssuer
8303158SMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Upward Change Health Services LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 E Main St
Ste 4105
Durham, NC 27701
Phone (919) 422-3036

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": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1699197871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E MAIN ST STE 2120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014099",
            "telephone_number": "919-422-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E MAIN ST STE 4105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014076",
            "telephone_number": "919-422-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD CHANGE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-422-3036"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-032-540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303158S",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.