Change Reaction Baltimore

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGE REACTION BALTIMORE

Practice address

1111 Park Ave Ste L111
Baltimore, MD 21201-5695

Phone

(443) 204-3181

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Davon NewtonNPI 1699438200

Title

Owner

Phone

(443) 204-3181

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Davon F Newton

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1699438200
  NPD Authorized official

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1760102685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE STE L111",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015695",
            "telephone_number": "443-204-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PARK AVE STE L111",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015695",
            "telephone_number": "443-204-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE REACTION BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "DAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-204-3181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Change Health Systems, Inc
• Change Health Systems, Inc
• Change Health Systems, Inc
• Change Health Systems, Inc.
• Change of Pace Counseling Services LLC
• Change Treatment LLC
• Changes for the Better LLC
• Changing All Directions Inc.
• Changing Directions
• Changing Faces Health and Therapeutic Services Inc

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.