CHANGE ACADEMY AT LAKE OF THE OZARKS - NPI 1679287007

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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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 1679287007), doing business as Embark Behavioral Health, is a healthcare organization registered as a mental health (including community mental health center) in Scottsdale, Arizona and active in the NPI registry since January 2023. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1679287007

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS

Location Address7373 N SCOTTSDALE RD STE D120Scottsdale, AZ 85253-3506

Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132

Phone(480) 618-6595

Organization SubpartYes

Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923

Enumeration DateJanuary 10, 2023

Last NPPES UpdateMay 21, 20254 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1679287007 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

7373 N SCOTTSDALE RD STE D120, Scottsdale, AZ 85253

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Other Names 1

Doing Business AsEmbark Behavioral Health

Other Providers at the Same Location NPPES 7

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

ALEXZIS FIGUEROA LMSW

Social Worker