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CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1376223511
Clinic/Center - Mental Health (Including Community Mental Health Center) in Walnut Creek, CA

Active since July 21, 2023
370 N WIGET LN STE 100, WALNUT CREEK, CA 94598(925) 658-3923 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Jul 21, 2023 (2 updates tracked since 2023).

About Change Academy At Lake Of The Ozarks NPPES

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

CHANGE ACADEMY AT LAKE OF THE OZARKS (NPI 1376223511), doing business as Embark Behavioral Health, is a healthcare organization registered as a mental health (including community mental health center) in Walnut Creek, California and active in the NPI registry since July 2023. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1376223511
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address370 N WIGET LN STE 100Walnut Creek, CA 94598-2454
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132
Phone(925) 658-3923
Organization SubpartYes
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateJuly 21, 2023
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1376223511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
370 N WIGET LN STE 100, Walnut Creek, CA 94598
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Other Names 1

Doing Business AsEmbark Behavioral Health

Other Providers at the Same Location NPPES 3

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

JESSICA DANIELLE FRIHART PMHNP, CNS, RN
Nurse Practitioner (Psychiatric/Mental Health)
370 N WIGET LN STE 100
WALNUT CREEK, CA 94598
Contra Costa County (925) 658-3643
MADELINE SERB
Marriage & Family Therapist
370 N WIGET LN STE 100
WALNUT CREEK, CA 94598
Contra Costa County (925) 658-3935
GEORGE SINGH LALLIAN MFT
Marriage & Family Therapist
370 N WIGET LN STE 100
WALNUT CREEK, CA 94598
Contra Costa County (925) 430-6501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Change Academy At Lake Of The Ozarks's NPI number?

The NPI number for Change Academy At Lake Of The Ozarks is 1376223511. It was assigned to this organization in the NPPES registry on July 21, 2023. The provider is doing business as Embark Behavioral Health.

Where is Change Academy At Lake Of The Ozarks located?

Change Academy At Lake Of The Ozarks is located at 370 N Wiget Ln Ste 100, Walnut Creek, CA 94598. The listed phone number is (925) 658-3923.

What is Change Academy At Lake Of The Ozarks's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Change Academy At Lake Of The Ozarks was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.