MEDICARE: CENTER FOR POSITIVE CHANGES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number	:	1558109017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR POSITIVE CHANGES

Provider Business Mailing Address
First Line	:	PO BOX 1154
Second Line	:
City	:	LEMON GROVE
State	:	CA
Zip	:	91946-1154
Country	:	US
Telephone Number	:	619-660-3886
Fax Number	:	619-660-3886

Provider Business Practice Location Address
First Line	:	5671 CHURCHWARD ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92114-4010
Country	:	US
Telephone Number	:	619-915-6452
Fax Number	:	619-660-3886

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DEANNA MELLOS
Credential	:
Telephone Number	:	619-660-3886

Provider Enumeration Date	:	07/18/2024
Last Update Date	:	08/08/2024

Similar Medicare Providers

1295300051 — LENNY BOLTON RADT I
Practice Location Address:

5671 CHURCHWARD ST
SAN DIEGO, CA
92114-4010

Practice Phone: 619-915-6452
Practice Fax:

1356341168 — MANORAMA M REDDY M.D.
Practice Location Address:

4533 COLLEGE AVE
SAN DIEGO, CA
92115-4010

Practice Phone: 619-583-8700
Practice Fax: 619-583-5866

1720088701 — DR. LYNN L. OWENS DC
Practice Location Address:

4527 COLLEGE AVE
SAN DIEGO, CA
92115-4010

Practice Phone: 619-265-9336
Practice Fax: 619-583-2676

1790757623 — DEBRA JEANNE GRAHAM DNP
Practice Location Address:

4537 COLLEGE AVE
SAN DIEGO, CA
92115-4010

Practice Phone: 619-229-1895
Practice Fax: 619-229-1837

1881798221 — DR. FREDERICK ALLEN RICHBURG II MD
Practice Location Address:

4010 SORRENTO VALLEY BLVD , SUITE 300
SAN DIEGO, CA
92121-1432

Practice Phone: 858-793-7860
Practice Fax: 858-436-1289

1881782647 — NEELAKANTAN RAMINENI MD
Practice Location Address:

4537 COLLEGE AVENUE
SAN DIEGO, CA
92115-4010

Practice Phone: 619-265-0504
Practice Fax: 619-265-8358

Directions to “CENTER FOR POSITIVE CHANGES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.