SHERRELL CLARK
NPI 1003366535
Peer Specialist in Riverside, CA
NPI Status: Active since October 07, 2016
Contact Information
2085 RUSTIN AVE STE 1
RIVERSIDE, CA
ZIP 92507
Phone: (951) 955-7320
- Individual
- Female
- Peer Specialist
About SHERRELL CLARK
This page provides the complete NPI Profile along with additional information for Sherrell Clark, a provider established in Riverside, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1003366535 assigned on October 2016. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1003366535
- Provider Name
- SHERRELL CLARK
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2085 RUSTIN AVE STE 1 RIVERSIDE, CA 92507
- Location Phone
- (951) 955-7320
- Mailing Address
- 883 OLEANDER ST HEMET, CA 92543
- Mailing Phone
- (503) 754-2398
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-07-2016
- Last Update Date
- 12-31-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- CA
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 172V00000X | Other Service Providers | Community Health Worker | |
| 3 | 175T00000X | Other Service Providers | Peer Specialist |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003366535, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
RIVERSIDE, CA 92507
RIVERSIDE, CA 92507
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003366535, enumerated as an "individual" on October 07, 2016.
The provider is located at 2085 RUSTIN AVE STE 1 RIVERSIDE, CA 92507 and the phone number is (951) 955-7320.
Peer Specialist with taxonomy code 175T00000X.
