OrganizationActive
Change Reaction, Corp
NPI 1659754091 · Community/Behavioral Health Agency · Riverdale, MD
Change Reaction, Corp is a Community/Behavioral Health Agency organization in Riverdale, MD (NPI 1659754091).
Provider details
- NPI number
- 1659754091
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kimberly Green, Owner/Program Manager(301) 408-9639
Specialties & taxonomies
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
4404 Queensbury Rd Ste 105
Riverdale, MD 20737-1074
Phone: (301) 864-0919
Fax: (301) 864-1301
Street-level locationGet directions
Mailing address
4404 Queensbury Rd Ste 105
Riverdale, MD 20737-1074
Registry dates
- Enumerated
- 2015-07-02
- Last updated
- 2021-12-13
- Certified
- 2021-12-13
Frequently asked questions
- What is Change Reaction, Corp's NPI number?
- Change Reaction, Corp's National Provider Identifier (NPI) is 1659754091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Change Reaction, Corp?
- Change Reaction, Corp is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Change Reaction, Corp located?
- Change Reaction, Corp's practice location on file with NPPES is 4404 Queensbury Rd Ste 105, Riverdale, MD 20737-1074.
- What is Change Reaction, Corp's phone number?
- The practice phone number listed in the NPPES registry for Change Reaction, Corp is (301) 864-0919.
- Who is the authorized official for Change Reaction, Corp?
- The authorized official listed on Change Reaction, Corp's NPPES record is Kimberly Green, Owner/Program Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Change Reaction, Corp's NPI active?
- Yes — Change Reaction, Corp's NPI (1659754091) is active in the NPPES registry as of the last update on 2021-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.