Provider Demographics
NPI:1417580283
Name:INSIGHT & CHANGE
Entity Type:Organization
Organization Name:INSIGHT & CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/ PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RADU
Authorized Official - Middle Name:
Authorized Official - Last Name:POP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:469-900-7310
Mailing Address - Street 1:5952 ROSEBUD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5238
Mailing Address - Country:US
Mailing Address - Phone:214-864-5615
Mailing Address - Fax:
Practice Address - Street 1:4245 N CENTRAL EXPY STE 260
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-4581
Practice Address - Country:US
Practice Address - Phone:469-900-7310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1306060009OtherNPPES
TX1679836001OtherNPPES
TX1225406176OtherNPPES