Organization Active NPI

Ready for Change, Inc.

  • Adult Mental Health Clinic/Center
  • Twin Falls, ID
National Provider Identifier
1962015339
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
READY FOR CHANGE, INC.
Practice address
1373 Fillmore St
Twin Falls, ID 83301-3392
Phone
(208) 737-9999
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Susan Christine Barrett, PSYD
Title
Owner/Psychologist
Phone
(208) 329-6647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1373 Fillmore St
Twin Falls, ID 83301-3392

Mailing address

322 E. Main St.
PMB 218
Burley, ID 83318-1933
Phone (208) 329-6647

Other practice location 1

309 E. Lincoln
Paul, ID 83347
Phone (208) 329-6647

National Provider Directory

National Provider Directory

Locations

322 E Main St
Burley, ID 83318

1373 Fillmore St
Twin Falls, ID 83301
Phone (208) 320-3746

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1962015339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E. MAIN ST.",
            "address_2": "PMB 218",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181933",
            "telephone_number": "208-329-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 FILLMORE ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-737-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 E. Lincoln",
            "address_purpose": "LOCATION",
            "city": "Paul",
            "state": "ID",
            "postal_code": "83347",
            "country_code": "US",
            "telephone_number": "208-329-6647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "READY FOR CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "208-329-6647",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.