Changing Your Mind, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PS008661L Issued in PA

Legal business name

CHANGING YOUR MIND, INC.

Practice address

42 W Upsal St
Philadelphia, PA 19119-2711

Phone

(215) 802-7291

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Ofalt, PSY.D.

Title

President

Phone

(215) 802-7291

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1760812028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 W UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192711",
            "telephone_number": "215-802-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING YOUR MIND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "OFALT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-802-7291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS008661L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia W. Chang, M.D., PH.D.
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• Keerthi Channarasappa, DO
• Ronald William Channell
• Kurt Channick, MD
• Pierre Patrick Chanoine, M.D.
• Ashley Marie Chanpong

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.