CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1053171710
Clinic/Center - Mental Health (Including Community Mental Health Center) in Coral Gables, FL

NPI Status: Active since March 20, 2024

Contact Information

2332 GALIANO ST FL 2
CORAL GABLES, FL
ZIP 33134
Phone: (480) 550-9281

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About CHANGE ACADEMY AT LAKE OF THE OZARKS

This page provides the complete NPI Profile along with additional information for Change Academy At Lake Of The Ozarks, a provider established in Coral Gables, Florida operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1053171710 assigned on March 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's . The authorized official of this NPI record is Sharnell Spencer (Credentialing Manager)

NPI
1053171710
Provider Legal Name
CHANGE ACADEMY AT LAKE OF THE OZARKS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2332 GALIANO ST FL 2 CORAL GABLES, FL 33134
Location Phone
(480) 550-9281
Mailing Address
5500 MING AVE STE 410 BAKERSFIELD, CA 93309
Mailing Phone
(661) 622-4132
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-20-2024
Last Update Date
05-15-2025
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

SHARNELL SPENCER

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(661) 239-6923

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053171710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010327272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 2 + 7 + 2 + 7 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1053171710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225709751 JUAN F TORO BCBA
Individual
Behavior Analyst2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(305) 209-9696
1497403158BUILDING BLOCKS FOR CHANGE LLC
Organization
Community/Behavioral Health2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(702) 355-2695
1821716705IRECOVERY, LLC
Organization
Preventive Medicine (Addiction Medicine)2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(786) 708-6990
1972356376GREENEWELL LLC
Organization
In Home Supportive Care2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(786) 268-6706
1518703081 VEYDA SHAKIBI
Individual
Behavior Technician2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(737) 265-4925
1538992177 YAMILETTE RODRIGUEZ RODRIGUEZ
Individual
Behavior Technician2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(305) 497-0662
1275366403REHABILITATION CONSULTANTS LLC
Organization
Physical Medicine & Rehabilitation2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(732) 630-0581
1457187676 AMONI LEANDRA EMELDA WATTLEY-DAVIS
Individual
Behavior Technician2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(305) 497-0662
1871329136 MARISO; HERNANDEZ NUNEZ
Individual
Behavior Technician2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(786) 491-3731
1366272585RISE SLEEP MEDICAL GROUP PA
Organization
Psychologist (Cognitive & Behavioral)2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(714) 914-7849
1841012960SAILOR HEALTH MEDICAL, P.A.
Organization
Psychologist2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(786) 269-0333
1992511273TANDEMCARE PROVIDER GROUP, PA
Organization
Health Educator2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(844) 826-3364
1457156986 ANNABELLA JEZELLE CORTEZ
Individual
Behavior Technician2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(305) 910-1830
1043919822CH SPECIALTY SERVICES FL LLC
Organization
Internal Medicine2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(337) 408-0797
1205637618HEALTHSPARK MEDICAL GROUP PA
Organization
Clinic/Center (Physical Therapy)2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(415) 707-7134
1487301917MARLEY MEDICAL PROVIDER GROUP, P.A.
Organization
Family Medicine (Adult Medicine)2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(305) 998-0713
1902557895BEANS BEHAVIOR ANALYSIS SERVICES LLC
Organization
Behavior Analyst2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(786) 440-1176
1013628676CURANA HEALTH OF FLORIDA LLC
Organization
Internal Medicine2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(337) 408-0797
1952107641AMC PSYCHIATRIC SERVICES LLC
Organization
Psychiatry & Neurology (Psychiatry)2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(305) 510-2916
1033902929TIKVAH HEALING GROUP
Organization
Social Worker (Clinical)2332 GALIANO ST FL 2
CORAL GABLES, FL 33134
(305) 204-1665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053171710, enumerated in the NPI registry as an "organization" on March 20, 2024

The provider is located at 2332 Galiano St Fl 2 Coral Gables, Fl 33134 and the phone number is (480) 550-9281

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on March 20, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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