Changes

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

SA0823210 Issued in MI

Legal business name

CHANGES

Practice address

19940 Conant St
Detroit, MI 48234-1494

Phone

(313) 368-0005

Fax

(313) 368-0771

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Lolita Chandler

Title

General Partner

Phone

(313) 368-0005

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1942618228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19940 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341494",
            "telephone_number": "313-368-0005",
            "fax_number": "313-368-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19940 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341494",
            "telephone_number": "313-368-0005",
            "fax_number": "313-368-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "LOLITA",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "313-368-0005"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MI",
            "license": "SA0823210",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "SA0823210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin Young Chang, MD
• Nile Yu CHI Chang, MD
• Steven Shih-Wei Chang, M.D.
• Tiffany Chang, M.D.
• Victor Weichi Chang, M.D.
• Changes1, PLLC
• Changing Lives and Staying Sober
• Rosina Channell, BSW
• Chapel Hill Housing
• Ted Edward Chaperon

• Methadone Clinic in Detroit, MI
• Providers in Detroit, MI by specialty
• Methadone Clinic in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.