NPIMap

Organization Active NPI

Conscious Change,LLC

  • Clinical Psychologist
  • Clermont, FL
National Provider Identifier
1932729779
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CONSCIOUS CHANGE,LLC
Practice address
1626 Nightfall Dr
Clermont, FL 34711-2762
Phone
(407) 968-6723
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Samia Husni, PH.D.NPI 1023295466
Title
Licensed Psychologist, Owner
Phone
(407) 968-6723

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1626 Nightfall Dr
Clermont, FL 34711-2762

Mailing address

1626 Nightfall Dr
Clermont, FL 34711-2762
Phone (407) 968-6723

National Provider Directory

National Provider Directory

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": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1932729779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 NIGHTFALL DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112762",
            "telephone_number": "407-968-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 NIGHTFALL DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112762",
            "telephone_number": "407-968-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS CHANGE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "HUSNI",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "407-968-6723",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

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