CHANGE REACTION
NPI 1275201758
Community/Behavioral Health in Riverdale, MD

Q: What is Change Reaction's NPI number?

The NPI number for Change Reaction is 1275201758. It was assigned to this organization in the NPPES registry on August 31, 2021.

Q: What is Change Reaction's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Change Reaction was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2021

4404 QUEENSBURY RD STE 105, RIVERDALE, MD 20737(240) 432-7659(301) 864-1301 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Change Reaction NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGE REACTION (NPI 1275201758) is a healthcare organization registered as a community/behavioral health in Riverdale, Maryland and active in the NPI registry since August 2021. The organization lists Kimberly M Green, Owner/program Manager, as its authorized official.

NPPES Registry Identity

NPI1275201758

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCHANGE REACTION

Location Address4404 QUEENSBURY RD STE 105Riverdale, MD 20737-1074

Mailing Address4404 Queensbury Rd Ste 105Riverdale, MD 20737-1074 · (240) 432-7659 · Fax (301) 864-1301

Phone(240) 432-7659

Fax(301) 864-1301

Organization SubpartNo

Authorized OfficialKimberly M GreenOwner/program Manager · (301) 864-0919

Enumeration DateAugust 31, 2021

NPPES CertifiedJuly 23, 2021

✔ NPI 1275201758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

4404 QUEENSBURY RD STE 105, Riverdale, MD 20737

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Other Names 1

Doing Business AsChange Reaction

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KIMBERLY M GREEN CSC-AD, RAC

Community/Behavioral Health