Organization Active NPI

Changes Youth Services

  • Community/Behavioral Health Agency
  • Oviedo, FL
National Provider Identifier
1720416233
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHANGES YOUTH SERVICES
Practice address
2040 Winter Springs Blvd
Oviedo, FL 32765-9347
Phone
(321) 348-7304
Fax
(321) 765-4871
NPI assigned
Oct 18, 2013
Last updated
Oct 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Ms. Tamara Lee Mohammd, LMHC, NCC
Title
Program Coordinator
Phone
(321) 348-7304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2040 Winter Springs Blvd
Oviedo, FL 32765-9347

Mailing address

2040 Winter Springs Blvd
Oviedo, FL 32765-9347
Phone (321) 348-7304

National Provider Directory

National Provider Directory
Tax ID family
Changes Youth Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1720416233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WINTER SPRINGS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659347",
            "telephone_number": "321-348-7304",
            "fax_number": "321-765-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WINTER SPRINGS BLVD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659347",
            "telephone_number": "321-348-7304",
            "fax_number": "321-765-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMMD",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "321-348-7304",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.