Changes Therapeutics Services
NPI 1417510934ActiveOrganization· Psychologist, Group Psychotherapy· Maryland Heights, MO
Psychologist, Group Psychotherapy in Maryland Heights, Missouri, registered in NPPES in April 2019. The authorized official on file is Linda L. Peterson, PHD, Owner/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417510934 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2019 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Feb 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Group Psychotherapy Primary | 103TP2701X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|