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Change Academy at Lake of the Ozarks

Mental Health Clinic/Center (Including Community Mental Health Center) in San Rafael, CA · enumerated 2023 · authorized official Sharnell Spencer, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225722093

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Registry record

Entity type Organization (Type 2)
Legal business name Change Academy at Lake of the Ozarks
Other name <Unavail>
Parent organization Change Academy at Lake of the Ozarks
Practice address 4000 Civic Center Dr Ste 102, San Rafael, CA, 94903
Phone (415) 578-5727
Enumeration date Jun 5, 2023
Last updated in NPPES May 21, 2025

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Sharnell Spencer
Title Credentialing Manager
Phone (661) 239-6923

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Change Academy at Lake of the Ozarks?
NPPES lists Sharnell Spencer (Credentialing Manager) as the authorized official for this organization.
What is the NPI number for Change Academy at Lake of the Ozarks?
The NPI for Change Academy at Lake of the Ozarks is 1225722093, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-21.