Change 4 Children Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CHANGE 4 CHILDREN SERVICES, LLC

Practice address

2266 N Prospect Ave
605
Milwaukee, WI 53202-6319

Phone

(414) 289-0937

Fax

(414) 289-0938

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa T Boswell, LCSW

Title

Executive Director

Phone

(414) 289-0937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Matthew Boswell, MS

  • Counseling Psychologist
  • Milwaukee, WI
  • NPI 1285887182
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1730338286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE",
            "address_2": "605",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026319",
            "telephone_number": "414-289-0937",
            "fax_number": "414-289-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE",
            "address_2": "605",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026319",
            "telephone_number": "414-289-0937",
            "fax_number": "414-289-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE 4 CHILDREN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-289-0937",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42239100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiran Nagenahalli Chandrashekarappa, M.D.
• Katelyn Chaneske, PA-C
• Abigail Pearl Chang, PA-C
• Edward C Chang, MD
• Molly Jean Chang, RD, CD, CNSC
• Changing Dynamics LLC
• Changing Lives Health Care LLC
• Changing Lives LLC
• Phouthamyxay Winny Chanthalalay
• Chantils Place

• Psychologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.