AWAKEN TO CHANGE, P.C.


Address: 950 Office Park Rd, Ste 200b, West Des Moines, IA 50265-2549
Phone: 5152447007

AWAKEN TO CHANGE, P.C. (NPI# 1750450755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750450755
Entity Type Organization
Organization Name AWAKEN TO CHANGE, P.C.
Practice Address 950 Office Park Rd
Ste 200b
West Des Moines
IA 50265-2549
Practice Telephone 5152447007
Practice Fax Number 5152443238
Mailing Telephone 5152447007
Mailing Fax Number 5152443238
Enumeration Date 2006-11-06
Last Update Date 2009-07-26
Authorized Official Name DR. SANDRA L. DAVIS (PSYCHOLOGIST)
Authorized Official Telephone 5152447007
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 00263 IA Behavioral Health & Social Service Providers

Office Location

Street Address 950 OFFICE PARK RD
STE 200B
City WEST DES MOINES
State IA
Zip Code 50265-2549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164422499 Children's Therapy Services, Ltd. Clinic/Center 950 Office Park Rd, Suite 121, West Des Moines, IA 50265-2549 2005-07-28
1811402340 Abi Lynn Fortsch Speech-Language Pathologist 950 Office Park Rd, West Des Moines, IA 50265-2549 2017-12-06
1689056848 Alicia Bellville Speech-Language Pathologist 950 Office Park Rd, Suite 100, West Des Moines, IA 50265-2549 2015-06-24
1295147759 Community Health and Immunization Services, LLC Community Health Worker 950 Office Park Rd, Suite 215b, West Des Moines, IA 50265-2549 2014-06-02
1811316524 Madalyn Skahill Speech-Language Pathologist 950 Office Park Rd, Suite 100, West Des Moines, IA 50265-2549 2014-04-09
1235552423 Kristin Rae Pollock Speech-Language Pathologist 950 Office Park Rd, Suite 100, West Des Moines, IA 50265-2549 2014-01-24
1366871550 Passport Health Holdings LLC Preventive Medicine 950 Office Park Rd, Ste 200b, West Des Moines, IA 50265-2548 2013-11-07
1376977801 Lindsey Lee Rupiper Speech-Language Pathologist 950 Office Park Rd, West Des Moines, IA 50265-2549 2013-09-03
1528401171 Shelly J Smith Speech-Language Pathologist 950 Office Park Rd, Suite 121, West Des Moines, IA 50265-2549 2013-04-14
1992055511 Danielle June Heltzel Physical Therapist 950 Office Park Rd, Suite 100, West Des Moines, IA 50265-2549 2012-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255840534 Vincent Hanna Counselor 225 23rd Street, West Des Moines, IA 50265 2017-09-29
1023547940 Stephanie Hay Massage Therapist 105 S. 11th Street, West Des Moines, IA 50265 2017-06-05
1538606975 Vermeer Quist Consulting, LLC Community/Behavioral Health 1115 Grand Ave, St. Mark Lutheran Church, West Des Moines, IA 50265 2017-01-24
1316389653 Koch Facial Plastic Surgery PC Otolaryngology 4855 Mills Civic Parkway #100, West Des Moines, IA 50265 2013-07-29
1821237942 Jeffrey Lenz Md PC Family Medicine 1235 8th Street, West Des Moines, IA 50265 2009-02-12
1962564856 Cindy Schloss Calhoun Social Worker 1211 Vine St, Suite 2150, Des Moines, IA 50265 2006-12-15
1871671388 Barbara Lynn Nebel Speech-Language Pathologist 950 Office Park Road, Suite 121, West Des Moines, IA 50265 2006-11-01
1639268576 Brent Lane Cooper Physical Therapist Central Rehabilitation, Ltd, 950 Office Park Road, Suite 100, West Des Moines, IA 50265 2006-10-11
1104875319 Jason A Nesheim Optometrist 1905 E P True Parkway, Ste 103, West Des Moines, IA 50265 2006-05-08
1063414464 Steven R. Clark Physical Therapist 330 1st Street, Suite 100, Steven Clark Mfr Physical Therapy, West Des Moines, IA 50265 2005-08-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912406588 Cora Schuhmacher, Psy.d., Pllc Psychologist 1045 76th St Unit 3030, West Des Moines, IA 50266 2018-02-08
1518363746 Erin Stevens Psychologist 6750 Westown Pkwy Ste 200-154, West Des Moines, IA 50266-7723 2014-11-17
1609894070 Kerrie Jo Hill Psychologist 939 Office Park Rd Ste 200, West Des Moines, IA 50265-2538 2006-07-17
1326070459 Ellery H Duke Psychologist 2929 Westown Pkwy, Suite 110 Des Moines Pastoral Counseling Center, West Des Moines, IA 50266 2006-07-07
1528036761 Eric Jon Rainey Gibson Psychologist 1003 Grand Avenue, West Des Moines, IA 50265-3502 2006-03-14
1760005904 Joseph Bardeen Psychologist 6750 Westown Pkwy Ste 200-154, West Des Moines, IA 50266-7723 2020-05-22
1356902167 Northstar Psychological Services, Plc Psychologist 4401 Westown Pkwy Ste 109, West Des Moines, IA 50266-6721 2019-06-23
1457826174 Dr. Danah Barazanji, P.l.c. Psychologist 1045 76th St Unit 3030, West Des Moines, IA 50266-5913 2018-10-09
1346746369 Kathryn Wierda Psychologist 1045 76th St Unit 3030, West Des Moines, IA 50266-5913 2018-03-30
1477937530 West Des Moines Center for Psychotherapy, LLC Psychologist 1045 76th St, Suite 3030, West Des Moines, IA 50266-5834 2015-07-17
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Competitor

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City WEST DES MOINES
Zip Code 50265

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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.

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