COMMUNITY INNOVATIONS NPI 1003017179

Psychiatry & Neurology (Psychiatry) in Whiteville, NC

NPI 1003017179 Organization Psychiatry & Neurology Psychiatry

NPI Profile for COMMUNITY INNOVATIONS

Community Innovations is a provider established in Whiteville, North Carolina specializing in psychiatry & neurology (psychiatry) . The NPI number of Community Innovations is 1003017179 and was assigned on May 2007. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Community Innovations operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Andy Anderson (President)

A psychiatrist like Community Innovations are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

NPI

1003017179

Provider NameCOMMUNITY INNOVATIONS
Provider Location Address118 E WALTER ST WHITEVILLE, NC 28472
Provider Mailing Address3210 FAIRHILL DR RALEIGH, NC 27612
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-29-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

COMMUNITY INNOVATIONS
118 E WALTER ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 640-2724
Fax: (910) 640-3474

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Mailing Address

COMMUNITY INNOVATIONS
3210 FAIRHILL DR
RALEIGH, NC
ZIP 27612
Phone: (919) 256-0824
Fax: (919) 256-8750



Authorized Official

Authorized Official Name ANDY ANDERSON
Authorized Official TitlePRESIDENT
Authorized Official Phone(910) 642-5697

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5906099MEDICAID (05)NC

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003017179
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 1 + 1 + 4 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003017179 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700093184COMMUNITY INNOVATIONS, INC.
Organization
Community/Behavioral Health118 E WALTER ST
WHITEVILLE, NC 28472
(910) 640-2724
1164775961 ETHEL DOLORES WARNER LPCA
Individual
Counselor (Mental Health)118 E WALTER ST
WHITEVILLE, NC 28472
(910) 640-2724
1932298262COMMUNITY INNOVATIONS, INC.
Organization
Case Management118 E WALTER ST
WHITEVILLE, NC 28472
(910) 640-2724
1760552467COMMUNITY INNOVATIONS, INC.
Organization
Counselor (Mental Health)118 E WALTER ST
WHITEVILLE, NC 28472
(910) 640-2724
1184825259COMMUNITY INNOVATIONS
Organization
Community/Behavioral Health118 E WALTER ST
WHITEVILLE, NC 28472
(910) 640-2724

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Community Innovations is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.