NPIMap

Organization Active NPI

Upward Change Health Services

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1912449158
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
P010729 Issued in NC
Legal business name
UPWARD CHANGE HEALTH SERVICES
Practice address
2003 E NC Highway 54
Suite C
Durham, NC 27713-2482
Phone
(919) 682-5300
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Mr. Ervin Davis Jr., LCSW-ANPI 1548708944
Title
Team Lead II-H
Phone
(919) 685-2425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X P010729 NC Primary

Addresses

Primary practice location

2003 E NC Highway 54
Suite C
Durham, NC 27713-2482

Mailing address

2003 E NC Highway 54
Durham, NC 27713
Phone (919) 682-5300

National Provider Directory

National Provider Directory

Locations

2003 E NC Highway 54
Ste C
Durham, NC 27713
Phone (919) 475-7499

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1912449158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-682-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 E NC HIGHWAY 54",
            "address_2": "SUITE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132482",
            "telephone_number": "919-682-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD CHANGE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ERVIN",
        "authorized_official_title_or_position": "TEAM LEAD II-H",
        "authorized_official_telephone_number": "919-685-2425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "P010729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.