SCADD INC
NPI 1003960022
Clinic/Center - Rehabilitation, Substance Use Disorder in Lebanon, CT
NPI Status: Active since January 23, 2007
Contact Information
37 CAMP MOOWEEN ROAD
LEBANON, CT
ZIP 06249
Phone: (860) 889-1717
Fax: (860) 886-2361
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 07D1099176
- CLIA Cert. Type: Other - SUBSTANCE ABUSE
- CLIA Exp. Date: 05-06-2027
About SCADD INC
This page provides the complete NPI Profile along with additional information for Scadd Inc, a provider established in Lebanon, Connecticut operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1003960022 assigned on January 2007. The practitioner's primary taxonomy code is 261QR0405X with license number 0343 (CT). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Scadd Inc. The authorized official of this NPI record is Mr. John F Malone (Executive Director)
- NPI
- 1003960022
- Provider Legal Name
- SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE INC
- Other Organization Name
- SCADD INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 37 CAMP MOOWEEN ROAD LEBANON, CT 06249
- Location Phone
- (860) 889-1717
- Location Fax
- (860) 886-2361
- Mailing Address
- 37 CAMP MOOWEEN ROAD LEBANON, CT 06249
- Mailing Phone
- (860) 886-2495
- Mailing Fax
- (860) 886-2361
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2007
- Last Update Date
- 06-11-2008
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License No.
- 0343
- License State
- CT
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 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 0439 (CT) |
| 2 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | SA0020 (CT) |
| 3 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | SA-0018 (CT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004042073 | MEDICAID (05) | CT | |
| 175904 | OTHER (01) | CT | MAGELLAN |
| 004144606 | MEDICAID (05) | CT | |
| 004173671 | MEDICAID (05) | CT | |
| 149925 | OTHER (01) | CT | HEALTH NET |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D1099176
- Facility Type
- Other - SUBSTANCE ABUSE
- Certificate Effective Date
- May 07, 2025
- Certificate Expiration Date
- May 06, 2027
- Laboratory Director
- DINARTE SOARES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Scadd Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step 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. | |||||||||
| 1 | 0 | 0 | 3 | 9 | 6 | 0 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 18 | 6 | 0 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 1 + 8 + 6 + 0 + 0 + 4 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1003960022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003960022, enumerated as an "organization" on January 23, 2007.
The provider is located at 37 CAMP MOOWEEN ROAD LEBANON, CT 06249 and the phone number is (860) 889-1717.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Medicare, Medicaid and Magellan Health. Please consult your insurance carrier or call the provider to verify.
