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

NPI Status: Active since June 26, 2024

Contact Information

7 REGENT ST STE 701
LIVINGSTON, NJ
ZIP 07039
Phone: (862) 418-4574

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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 Livingston, New Jersey 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 1487499091 assigned on June 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
1487499091
Provider Legal Name
CHANGE ACADEMY AT LAKE OF THE OZARKS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
7 REGENT ST STE 701 LIVINGSTON, NJ 07039
Location Phone
(862) 418-4574
Mailing Address
5500 MING AVE STE 410 BAKERSFIELD, CA 93309
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-26-2024
Last Update Date
05-21-2025
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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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 

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.
1487499091
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241678918018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 8 + 9 + 1 + 8 + 0 + 1 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1487499091 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902609316 GURSHAMSHIR KAUR NIJJAR-BALYAN LPC
Individual
Counselor (Professional)7 REGENT ST STE 701
LIVINGSTON, NJ 07039
(862) 799-7627
1750170288 VALERIA FRANCESCA LATRAGNA
Individual
Social Worker7 REGENT ST STE 701
LIVINGSTON, NJ 07039
(862) 799-7627
1649069857 HARRIS SIDDIQ
Individual
Marriage & Family Therapist7 REGENT ST STE 701
LIVINGSTON, NJ 07039
(862) 799-7627

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487499091, enumerated in the NPI registry as an "organization" on June 26, 2024

The provider is located at 7 Regent St Ste 701 Livingston, Nj 07039 and the phone number is (862) 418-4574

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 June 26, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.