Change Academy At Lake Of The Ozarks
Clinic/Center, Mental Health (Including Community Mental Health Center) in Livingston, New Jersey
1487499091- Practice location
- 7 Regent St Ste 701, Livingston, NJ 07039-1628
- Phone
- 862-418-4574
- Fax
- —
- Last updated
- May 21, 2025
Change Academy At Lake Of The Ozarks is a healthcare organization based in Livingston, NJ. Change Academy At Lake Of The Ozarks practices in Livingston, NJ. The NPI Number for Change Academy At Lake Of The Ozarks is 1487499091. The current practice location address for Change Academy At Lake Of The Ozarks is 7 Regent St Ste 701, Livingston, NJ 07039-1628 and can be reached out via phone at 862-418-4574.
Provider Profile Details
- NPI Number
- 1487499091
- Provider Name
- Change Academy At Lake Of The Ozarks
- Provider Entity Type
- Organization
- Address
- 7 Regent St Ste 701, Livingston, NJ 07039-1628
- Phone Number
- 862-418-4574
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- Yes
- Parent Organization
- Change Academy At Lake Of The Ozarks
- Authorized Official
- Sharnell Spencer · Credentialing Manager · 661-239-6923
- Other Names
- Embark Behavioral Health (Doing Business As)
- Provider Enumeration Date
- June 26, 2024
- Last Update Date
- May 21, 2025
- Certification Date
- May 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Regent St Ste 701
Livingston, NJ 07039-1628 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-1628
- Phone Number
- 862-418-4574
Provider Business Mailing Address Details
- Address
- 5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631 - City
- Bakersfield
- State
- CA
- Zip
- 93309-4631
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Change Academy At Lake Of The Ozarks?
The NPI number of Change Academy At Lake Of The Ozarks is 1487499091. It was assigned on June 26, 2024 and is currently active in the NPPES registry.
What is the specialty of Change Academy At Lake Of The Ozarks?
Change Academy At Lake Of The Ozarks is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Change Academy At Lake Of The Ozarks practice?
The practice location is 7 Regent St Ste 701, Livingston, NJ 07039-1628. The office can be reached at 862-418-4574 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487499091 directly on the NPPES registry website.