Provider Demographics
NPI:1326132242
Name:CHANGING PERSPECTIVES LLP
Entity Type:Organization
Organization Name:CHANGING PERSPECTIVES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:JUODAITIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-454-1171
Mailing Address - Street 1:1698 POST RD E
Mailing Address - Street 2:1C
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5652
Mailing Address - Country:US
Mailing Address - Phone:203-454-1171
Mailing Address - Fax:203-454-1115
Practice Address - Street 1:1698 POST RD E
Practice Address - Street 2:1C
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5652
Practice Address - Country:US
Practice Address - Phone:203-454-1171
Practice Address - Fax:203-454-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002510101Y00000X
363LP0808X, 363LP0808X
CT001537101YM0800X
CT000427106H00000X, 101YP2500X
CT003581101YM0800X
CT000636101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1151420OtherCIGNA
CT50CHPERSPCT01OtherANTHEM
CT0001107793OtherMHN
CTC03059OtherMEDICARE PROVIDER #
CT004190568Medicaid
CTG3005010-G3005010OtherOXFORD