OrganizationActive
Change Academy at Lake of the Ozarks
NPI 1316130784 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lake Ozark, MO
Provider details
- NPI number
- 1316130784
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sharnell Spencer, Credentialing Manager(661) 239-6923
- License
- 105270 (MO)
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Calo Lane
Lake Ozark, MO 65049
Phone: (573) 365-2221
Fax: (573) 365-2224
Street-level locationGet directions
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.