Organization · Type 2 NPI

Change Academy at Lake of the Ozarks

Mental Health Clinic/Center (Including Community Mental Health Center) · Livingston, NJ

NPI number 1487499091 Active

Practice location

7 Regent St Ste 701
Livingston, NJ 07039-1628

Call (862) 418-4574 Map

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

4 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Livingston

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NPI record

NPI: 1487499091
Entity type: Organization (Type 2)
Issued: Jun 26, 2024
Last updated: May 21, 2025
Status: Active
Subpart: Yes of Change Academy at Lake of the Ozarks

Other names

<unavail>
Embark Behavioral Health · doing business as
Embark Behavioral Health · doing business as

Authorized official

Sharnell Spencer
Credentialing Manager
(661) 239-6923

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487499091

Change Academy at Lake of the Ozarks's National Provider Identifier is 1487499091, issued on Jun 26, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Livingston, NJ. The record was last updated on May 21, 2025.