Positive Change in Action

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

POSITIVE CHANGE IN ACTION

Practice address

89 Summerside Ave
Manchester, NH 03102-4929

Phone

(603) 512-1942

NPI assigned

Nov 16, 2024

Last updated

Nov 16, 2024By 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

Diana Polepole Teludji

Title

Business Manager

Phone

(603) 716-4968

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1942025804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SUMMERSIDE AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024929",
            "telephone_number": "603-512-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SUMMERSIDE AVE",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024929",
            "telephone_number": "603-512-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE CHANGE IN ACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "TELUDJI",
        "authorized_official_first_name": "DIANA POLEPOLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "603-716-4968"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Rodriguez Poole
• Tanya Marie Popoloski, MSW, LICSW
• Danielle Alexandra Porbunderwala, D.O.
• David Porbunderwala, M.D.
• Kevin John Porbunderwala, M.D.
• Positive Reinforcement ABA Therapy Inc.
• Positive Reinforcement Behavior Therapy, Inc
• Daniel Patrick Potenza, M.D.
• Janet L Potenza, RNC
• Mishel Pottackal

• PACE Provider Organization in Manchester, NH
• Providers in Manchester, NH by specialty
• PACE Provider Organization in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.