OrganizationActive
Change Academy at Lake of the Ozarks
NPI 1811601784 · Community/Behavioral Health Agency · Newport Beach, CA
Provider details
- NPI number
- 1811601784
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Change Academy at Lake of the Ozarks
- Organization subpart
- Yes
- Authorized official
- Sharnell Spencer, Credentialing Manager(661) 239-6923
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
5000 Birch St Ste 1400
Newport Beach, CA 92660-2150
Phone: (949) 688-6282
Street-level locationGet directions
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Other names (DBA / former)
- Doing business as
- Embark Behavioral Health
- Doing business as
- Embark Behavioral Health
Registry dates
- Enumerated
- 2023-01-05
- 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.