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CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1487499091
Clinic/Center - Mental Health (Including Community Mental Health Center) in Livingston, NJ

Active since June 26, 2024
7 REGENT ST STE 701, LIVINGSTON, NJ 07039(862) 418-4574 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, Jun 27, 2024 (2 updates tracked since 2024).

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 1487499091), doing business as Embark Behavioral Health, is a healthcare organization registered as a mental health (including community mental health center) in Livingston, New Jersey and active in the NPI registry since June 2024. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1487499091
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address7 REGENT ST STE 701Livingston, NJ 07039-1628
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631
Phone(862) 418-4574
Organization SubpartYes
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateJune 26, 2024
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1487499091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
7 REGENT ST STE 701, Livingston, NJ 07039
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Other Names 1

Doing Business AsEmbark Behavioral Health

Other Providers at the Same Location NPPES 4

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

NICOLE VINCENZA GINGERELLI
Social Worker
7 REGENT ST STE 701
LIVINGSTON, NJ 07039
Essex County (862) 799-7627
HARRIS SIDDIQ
Marriage & Family Therapist
7 REGENT ST STE 701
LIVINGSTON, NJ 07039
Essex County (862) 799-7627
VALERIA FRANCESCA LATRAGNA
Social Worker
7 REGENT ST STE 701
LIVINGSTON, NJ 07039
Essex County (862) 799-7627
GURSHAMSHIR KAUR NIJJAR-BALYAN LPC
Counselor (Professional)
7 REGENT ST STE 701
LIVINGSTON, NJ 07039
Essex County (862) 799-7627

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 1487499091. It was assigned to this organization in the NPPES registry on June 26, 2024. 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 7 Regent St Ste 701, Livingston, NJ 07039. The listed phone number is (862) 418-4574.

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.