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	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1568169217
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	:

Provider Business Practice Location Address
First Line	:	6950 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-1738
Country	:	US
Telephone Number	:	619-248-0552
Fax Number	:	619-660-6604

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DEANNA MELLOS
Credential	:
Telephone Number	:	619-248-0552

Provider Enumeration Date	:	02/13/2023
Last Update Date	:	05/07/2025

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Directions to “CENTER FOR POSITIVE CHANGES ” Practice Location

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