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CENTER OF CHANGE
NPI 1679741144
Psychologist - Clinical in Springfield, MO

Active since February 18, 2008
1615A S INGRAM MILL RD, SPRINGFIELD, MO 65804(417) 888-0886(417) 888-0846 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center Of Change NPPES

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

CENTER OF CHANGE (NPI 1679741144) is a healthcare organization registered as a clinical in Springfield, Missouri and active in the NPI registry since February 2008. The organization lists Suzanne Mckenna, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1679741144
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCENTER OF CHANGE
Location Address1615A S INGRAM MILL RDSpringfield, MO 65804-2261
Mailing Address1615a S Ingram Mill RdSpringfield, MO 65804-2261 · (417) 888-0886 · Fax (417) 888-0846
Phone(417) 888-0886
Fax(417) 888-0846
Organization SubpartNo
Authorized OfficialSuzanne MckennaCo-owner · (417) 888-0886
Enumeration DateFebruary 18, 2008
Last NPPES UpdateMay 1, 2008
✔ NPI 1679741144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MO · PY01825
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1615A S INGRAM MILL RD, Springfield, MO 65804
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Other Identifiers 2

Medicare PIN000015680MO
Medicaid508440609MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Center Of Change's NPI number?

The NPI number for Center Of Change is 1679741144. It was assigned to this organization in the NPPES registry on February 18, 2008.

Where is Center Of Change located?

Center Of Change is located at 1615A S Ingram Mill Rd, Springfield, MO 65804. The listed phone number is (417) 888-0886.

What is Center Of Change's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Center Of Change was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.