Center for Positive Change, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

33007137A Issued in IN

Legal business name

CENTER FOR POSITIVE CHANGE, INC.

Practice address

611 Lincoln Way E
South Bend, IN 46601-3220

Phone

(574) 360-4066

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Patricia Hancock

Title

LCSW /President

Phone

(574) 360-4066

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Center for Positive Change Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Center for Positive Change, Inc

  • Mental Health Counselor
  • South Bend, IN
  • NPI 1326392150
  NPD tax ID
• Center for Positive Change, Inc

  • Social Worker
  • South Bend, IN
  • NPI 1558754838
  NPD tax ID

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1831584788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LINCOLN WAY E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013220",
            "telephone_number": "574-360-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LINCOLN WAY E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013220",
            "telephone_number": "574-360-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR POSITIVE CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "LCSW /PRESIDENT",
        "authorized_official_telephone_number": "574-360-4066"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "33007137A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201146720A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Vincent Cellini, DMD
• Center for Eye-Care Excellence
• Center for Hospice and Palliative Care, Inc (Center for Adult Day Services, LLC)
• Center for Positive Change, Inc
• Center for Positive Change, Inc
• Center for Sleep and Nasal Sinus Disorders, LLC
• Central Indiana Orthopedics, LLC (OrthoAlliance Of Indiana)
• Michelle I Cervin -Wagner, DO
• Adiba Chaddher
• Jon Blake Chadwell, M.D.

• Community/Behavioral Health Agency in South Bend, IN
• Providers in South Bend, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.