CHANGEPOINT INTEGRATED HEALTH (NPI# 1841836285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841836285 |
| Entity Type | Organization |
| Organization Name | CHANGEPOINT INTEGRATED HEALTH |
| Practice Address |
1920 West Commerce Dr Lakeside AZ 85929 |
| Mailing Address |
1801 W Deuce of Clubs Ste 100 Show Low AZ 85901-2704 |
| Practice Telephone | 9283684110 |
| Practice Fax Number | 9288925828 |
| Mailing Telephone | 9285372951 |
| Mailing Fax Number | 9288925828 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | MICHELE HOSPODKA (BILLING / CREDENTIALING) |
| Authorized Official Telephone | 9285372951 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHANGEPOINT INTEGRATED HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 786444 | 05 |
| Other Name | Type Code |
|---|---|
| ChangePoint Integrated Health-CSU | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212508 | Changepoint Integrated Health | Clinic/Center | 1500 S White Mountain Rd Bldg 3, Show Low, AZ 85901-7111 | 2019-12-11 |
| 1568821346 | Changepoint Integrated Health | Psychiatric Residential Treatment Facility | 447 S Woodland Ln, Pinetop, AZ 85935-7139 | 2016-02-22 |
| 1467783118 | Changepoint Integrated Health | Special Hospital | 1920 Commerce Drive, Lakeside, AZ 85929-7004 | 2010-01-20 |
| 1750525978 | Changepoint Integrated Health | Clinic/Center | 1015 E. Second St., Winslow, AZ 86047 | 2009-05-01 |
| 1205877610 | Changepoint Integrated Health | Clinic/Center | 103 N 1st Ave, Holbrook, AZ 86025-2817 | 2006-06-08 |
| 1952891970 | Changepoint Integrated Health | Clinic/Center | 537 S Main St, Snowflake, AZ 85937-5279 | 2018-05-15 |
| 1518202100 | Changepoint Integrated Health | Community/Behavioral Health | 1801 W Deuce of Clubs, Suite 100, Show Low, AZ 85901-2705 | 2012-12-07 |
| 1184975500 | Changepoint Integrated Health | Clinic/Center | 423 S Main St, Snowflake, AZ 85937-5247 | 2012-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHANGEPOINT INTEGRATED HEALTH | 1801 W Deuce of Clubs #100, Show Low, AZ 85901-2704 |
| Street Address |
1920 WEST COMMERCE DR |
| City | LAKESIDE |
| State | AZ |
| Zip Code | 85929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1184111692 | Statclinix Plc | Clinic/Center | 3457 W White Mountain Blvd, Lakeside, AZ 85929 | 2018-04-19 |
| 1154827863 | Advanced Health and Wellness Az | Clinic/Center | 4830 Highway 260 Ste 102, Lakeside, AZ 85929 | 2018-04-02 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1912395807 | Samuel Jesus Rosero Garcia | Family Medicine | 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 | 2014-12-31 |
| 1104178326 | Ronald T. Watanabe | Chiropractor | 20 West White Mountain Road, Safeway Pharmacy, Lakeside, AZ 85929 | 2012-10-11 |
| 1962705442 | San Tan Behavioral Health Services | Non-emergency Medical Transport (VAN) | 1277 Hummingbird Circle, Lakeside, AZ 85929 | 2010-12-06 |
| 1609181718 | Freter Family Practice Pllc | Family Medicine | 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 | 2010-08-12 |
| 1760701221 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 N Lockwood Dr, Lakeside, AZ 85929 | 2010-05-24 |
| 1710117031 | Bornstein Medical Pllc | Family Medicine | 5448 S White Mountain Rd, Suite 270, Lakeside, AZ 85929 | 2009-07-21 |
| Find all providers in zip 85929 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.