Change Academy At Lake of The Ozarks
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 11620 Wilshire Blvd Ste 1150, Los Angeles, CA 90025-1283
Phone: 2139465247

Change Academy At Lake of The Ozarks (NPI# 1710690706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1710690706
Entity Type Organization
Organization Name CHANGE ACADEMY AT LAKE OF THE OZARKS
Practice Address 11620 Wilshire Blvd Ste 1150
Los Angeles
CA 90025-1283
Practice Telephone 2139465247
Mailing Address 5500 Ming Ave Ste 265
Bakersfield
CA 93309-4696
Authorized Official Name Mrs. Laura J Brown (VP OF REVENUE CYCLE MANAGEMENT)
Authorized Official Telephone 6618294060
Organization Subpart Yes, this organization is a Subpart
Enumeration Date 2023-01-04
Last Update Date 2023-01-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0801X Clinic/Center · Mental Health (Including Community Mental Health Center) Ambulatory Health Care Facilities

Providers with the same name

NPI Name Taxonomy Address Enumeration
1447964267 Change Academy At Lake of The Ozarks 21051 Warner Center Ln Ste 140, Woodland Hills, CA 91367-7088 2023-01-06
1811601784 Change Academy At Lake of The Ozarks 5000 Birch St Ste 1400, Newport Beach, CA 92660-2150 2023-01-05
1194437004 Change Academy At Lake of The Ozarks 63140 Dickey Rd, Bend, OR 97701-9742 2022-12-22
1760199244 Change Academy At Lake of The Ozarks 20116 Ashbrook Pl Ste 110, Ashburn, VA 20147-5086 2022-11-03
1568188340 Change Academy At Lake of The Ozarks 20116 Ashbrook Pl Ste 110, Ashburn, VA 20147-5086 2022-10-13
1811610918 Change Academy At Lake of The Ozarks 3205 N Twyman Rd, Independence, MO 64058-3211 2022-09-22
1811610918 Change Academy At Lake of The Ozarks 3205 N Twyman Rd, Independence, MO 64058-3211 2022-09-22
1376261347 Change Academy At Lake of The Ozarks 5340 S Quebec St, Greenwood Village, CO 80111-1909 2022-08-16
1326766304 Change Academy At Lake of The Ozarks 1445 Research Blvd Ste 100, Rockville, MD 20850-6130 2022-08-16
1013635085 Change Academy At Lake of The Ozarks 4800 Sugar Grove Blvd Ste 275, Stafford, TX 77477-2150 2022-08-16
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1437874757 Transcend Psychiatric Nursing, Inc. 3500 Verdugo Vista Ter, Los Angeles, CA 90065-4323 2022-10-10
1700509569 Los Angeles County Department of Mental Health 631-a Maple Ave, Los Angeles, CA 90014-2211 2022-09-26
1780312769 Los Angeles County Department of Mental Health 4470 Coliseum St, Los Angeles, CA 90016-5734 2022-08-09
1912633140 Los Angeles County Department of Mental Health 510 S Vermont Ave Fl 22, Los Angeles, CA 90020-1992 2022-07-29
1972239242 Boston Child Study Center Psychology Services 11900 W Olympic Blvd Ste 410, Los Angeles, CA 90064-1168 2022-07-28
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Office Location

Street Address 11620 WILSHIRE BLVD STE 1150
City LOS ANGELES
State CA
Zip Code 90025-1283

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821702648 Lux Psychology Inc. 11022 Santa Monica Blvd Ste 370, Los Angeles, CA 90025-7532 2023-01-06
1740993815 Rachel A Zink 10436 Santa Monica Blvd Ste 3010, Los Angeles, CA 90025-5079 2023-01-03
1588377865 Jessica Marie Gilbert 11346 Iowa Ave Ph 6, Los Angeles, CA 90025-6086 2023-01-02
1700599032 Michael John Robinson 2001 S Barrington Ave Ste 204, Los Angeles, CA 90025-5385 2023-01-02
1639882970 Kelsey Anne Holiday 11870 Santa Monica Blvd Ste 106504, Los Angeles, CA 90025-2276 2023-01-02
1871204693 Key Cares LLC 12100 Wilshire Blvd Ste 800, Los Angeles, CA 90025-7140 2022-12-13
1326758376 Alexa Lang 11701 Wilshire Blvd Ste 3, Los Angeles, CA 90025-1544 2022-11-30
1558071068 The Youth and Family Institute 1849 Sawtelle Blvd Ste 610, Los Angeles, CA 90025-7013 2022-11-25
1255049656 J N D Diagnostics Inc 2001 S Barrington Ave, Los Angeles, CA 90025-5363 2022-11-14
1790493617 Francisco Perales Jr. 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 2022-11-09
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Competitor

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City LOS ANGELES
Zip Code 90025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.