PROFESSIONAL TRAINING ASSOCIATION CORPORATION
NPI 1013059401
Clinic/Center - Rehabilitation, Substance Use Disorder in North Palm Baech, FL

NPI Status: Active since February 13, 2007

Contact Information

321 NORTHLAKE BLVD
#102
NORTH PALM BAECH, FL
ZIP 33408
Phone: (561) 494-0866
Fax: (561) 494-0984

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About PROFESSIONAL TRAINING ASSOCIATION CORPORATION

This page provides the complete NPI Profile along with additional information for Professional Training Association Corporation, a provider established in North Palm Baech, Florida operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1013059401 assigned on February 2007. The practitioner's primary taxonomy code is 261QR0405X with license number 0950AD384702 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mitchell E. Wallick (Executive Director)

NPI
1013059401
Provider Name
PROFESSIONAL TRAINING ASSOCIATION CORPORATION
Entity Type
Organization
Location Address
321 NORTHLAKE BLVD #102 NORTH PALM BAECH, FL 33408
Location Phone
(561) 494-0866
Location Fax
(561) 494-0984
Mailing Address
321 NORTHLAKE BLVD SUITE 102 NORTH PALM BEACH, FL 33408
Mailing Phone
(561) 494-0866
Mailing Fax
(561) 494-0984
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2007
Last Update Date
02-11-2014
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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.
0950AD384702
License State
FL

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

(FL)
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

1550AD384701 (FL)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MITCHELL E. WALLICK

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(561) 494-0866

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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.
1013059401
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023051840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 5 + 1 + 8 + 4 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013059401 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

SUSAN G NAVERSEN AP

Acupuncturist

321 NORTHLAKE BLVD
STE 102
NORTH PALM BEACH, FL
ZIP 33408

(561) 494-0866

LINDA A DUNN LMHC

Counselor

(Mental Health)

321 NORTHLAKE BLVD
STE 102
NORTH PALM BEACH, FL
ZIP 33408

(561) 494-0866

NATALYA NELINA LCSW

Social Worker

(Clinical)

321 NORTHLAKE BLVD
STE 205
NORTH PALM BEACH, FL
ZIP 33408

(561) 358-5633

DR. MITCHELL E. WALLICK

Counselor

(Addiction (Substance Use Disorder))

321 NORTHLAKE BLVD
SUITE 102
NORTH PALM BEACH, FL
ZIP 33408

(561) 494-0984

DR. AIMEE E. WALLICK

Counselor

(Addiction (Substance Use Disorder))

321 NORTHLAKE BLVD
SUITE 102
NORTH PALM BEACH, FL
ZIP 33408

(561) 494-0866

TRACY ARECHEDERRA MSW, LCSW, NCGCII

Social Worker

(Clinical)

321 NORTHLAKE BLVD
NORTH PALM BEACH, FL
ZIP 33408

(866) 494-0866

MS. LEIGH ANN PENNIMAN LMHC, CAP

Counselor

(Mental Health)

321 NORTHLAKE BLVD
SUITE 108
NORTH PALM BEACH, FL
ZIP 33408

(561) 814-5455

CENTER FOR RELATIONSHIPS & FAMILY THERAPY

Rehabilitation Hospital

321 NORTHLAKE BLVD
SUITE 214A
NORTH PALM BEACH, FL
ZIP 33408

(954) 587-7771

JOYCE KETTERMAN

Counselor

(Mental Health)

321 NORTHLAKE BLVD
SUITE 102
NORTH PALM BEACH, FL
ZIP 33408

(561) 494-0866

GARY COHEN

Counselor

(Mental Health)

321 NORTHLAKE BLVD
SUITE 102
NORTH PALM BEACH, FL
ZIP 33408

(561) 494-0866

COMPREHENSIVE ADDICTION RECOVERY EDUCATION

Psychiatry & Neurology

(Addiction Psychiatry)

321 NORTHLAKE BLVD
SUITE 102
NORTH PALM BEACH, FL
ZIP 33408

(561) 494-0866

MR. RODNEY WOODROW BURK LCSW

Social Worker

(Clinical)

321 NORTHLAKE BLVD
SUITE 208
NORTH PALM BEACH, FL
ZIP 33408

(561) 744-1968

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013059401, enumerated as an "organization" on February 13, 2007.

The provider is located at 321 NORTHLAKE BLVD #102 NORTH PALM BAECH, FL 33408 and the phone number is (561) 494-0866.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.