CHANGE PSYCHOLOGY CENTER
NPI 1851836589
Community/Behavioral Health in Comstock Park, MI

Active since January 04, 2017
5304 ALPINE AVE NW, COMSTOCK PARK, MI 49321(616) 366-3780 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About CHANGE PSYCHOLOGY CENTER

This page provides the complete NPI Profile along with additional information for Change Psychology Center, a provider established in Comstock Park, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1851836589 assigned on January 2017. The practitioner's primary taxonomy code is 251S00000X with license number 6301015319 (MI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Chad Louis Wieber (Owner)

NPI
1851836589 Verify this NPI
Provider Name
CHANGE PSYCHOLOGY CENTER
Entity Type
Organization
Location Address
5304 ALPINE AVE NW COMSTOCK PARK, MI 49321
Location Phone
(616) 366-3780
Mailing Address
4134 CAMBOT CT NW GRAND RAPIDS, MI 49534
Mailing Phone
(616) 366-3780
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2017
Last Update Date
01-05-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
6301015319
License State
MI
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHAD LOUIS WIEBER

Authorized Official Title
OWNER
Authorized Official Phone
(616) 366-3780

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Counseling)
5304 ALPINE AVE NW
COMSTOCK PARK, MI 49321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851836589, enumerated as an "organization" on January 04, 2017.

The provider is located at 5304 ALPINE AVE NW COMSTOCK PARK, MI 49321 and the phone number is (616) 366-3780.

Community/Behavioral Health with taxonomy code 251S00000X.