Organization Active NPI

Center for Psychological Wellness and Change LLC

  • Psychologist
  • Allentown, PA
National Provider Identifier
1871130948
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CENTER FOR PSYCHOLOGICAL WELLNESS AND CHANGE LLC
Practice address
6081 Hamilton Blvd Ste 600
Allentown, PA 18106-9801
Phone
(610) 638-6100
Fax
(610) 638-6101
NPI assigned
Dec 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Marifel C. Estrada-Currie, PH.D.NPI 1558689174
Title
Psychologist
Phone
(610) 638-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6081 Hamilton Blvd Ste 600
Allentown, PA 18106-9801

Mailing address

6081 Hamilton Blvd Ste 600
Allentown, PA 18106-9801
Phone (610) 638-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121002339 PA Part B Supplier - Clinic/Group Practice 0042645004 Receives reassigned benefits from 1 practitioner
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

6081 Hamilton Blvd
Ste 600
Allentown, PA 18106
Phone (570) 708-2228

1275 Glenlivet Dr
Allentown, PA 18106

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1575676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1871130948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 HAMILTON BLVD STE 600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069801",
            "telephone_number": "610-638-6100",
            "fax_number": "610-638-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 HAMILTON BLVD STE 600",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069801",
            "telephone_number": "610-638-6100",
            "fax_number": "610-638-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL WELLNESS AND CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-07",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "ESTRADA-CURRIE",
        "authorized_official_first_name": "MARIFEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-638-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.