Active NPI
Changes
- Community/Behavioral Health Agency
- Melbourne, FL
National Provider Identifier
1790976058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHANGES
- Practice address
- 3270 Suntree Blvd
Suite 127
Melbourne, FL 32940-7530 - Phone
- (321) 255-7991
- Fax
- (321) 639-3207
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kwanya Sanders, LMHC
- Title
- Executive Director
- Phone
- (321) 255-7991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | FL | Primary |
Addresses
Primary practice location
3270 Suntree Blvd
Suite 127
Melbourne, FL 32940-7530
Mailing address
3270 Suntree Blvd
Suite 127
Melbourne, FL 32940-7530
Phone (321) 255-7991
National Provider Directory
National Provider Directory- Tax ID family
- Changes
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Palm Bay, FL
- NPI 1790116093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1790976058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3270 SUNTREE BLVD",
"address_2": "SUITE 127",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407530",
"telephone_number": "321-255-7991",
"fax_number": "321-639-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 SUNTREE BLVD",
"address_2": "SUITE 127",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407530",
"telephone_number": "321-255-7991",
"fax_number": "321-639-3207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGES",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "KWANYA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "321-255-7991",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.