Center for Psychotherapeutic Change

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

I1319 Issued in NM

Legal business name

CENTER FOR PSYCHOTHERAPEUTIC CHANGE

Practice address

532 Don Gaspar Ave
Santa Fe, NM 87505-2626

Phone

(505) 986-3478

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marcelle Grant, MSWNPI 1780897157

Title

Vice President

Phone

(505) 986-3478

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcelle Grant

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1780897157
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871674887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CAMINITO ALEGRE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011605",
            "telephone_number": "505-986-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 DON GASPAR AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052626",
            "telephone_number": "505-986-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOTHERAPEUTIC CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MARCELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-986-3478",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "I1310",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "I1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy M Cecil, CSW
• Cedars
• Lisa Celosse, LPCC, LMFT
• Center for Endocrine Health P.C.
• Center for Foot Care, LTD
• Sheila A Cepeda, MD
• Brandon Thomas Cera
• Kaileigh Cera, CNP
• Lauren Ceronie
• Rebecca Cerquera

• Professional Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.