Change Behavioral Solutions LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CHANGE BEHAVIORAL SOLUTIONS LLC

Practice address

14336 Gatewood LN
Frisco, TX 75035-1323

Phone

(206) 818-0332

NPI assigned

Jul 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Suresh Padmanabhan

Title

Ceo

Phone

(206) 818-0332

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1942936703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14336 GATEWOOD LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14336 GATEWOOD LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351323",
            "telephone_number": "206-818-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE BEHAVIORAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "PADMANABHAN",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-818-0332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jammie Chang
• Kelly Chang, CCC-SLP
• Minho Chang, D.M.D.
• Vanessa Eunsaem Chang, DMD, MPH
• William Chang, DC
• Candace Ann Channing, FNP
• Jill Chao, PHARM.D., R.PH.
• Emiliano Cuba Chapa, DC
• Chapel Creek Dentistry, PC
• Stacy Chargois, PHARMD

• Adult Mental Health Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.