99TH AVE ACT
NPI 1023532025
Clinic/Center - Adult Mental Health in Avondale, AZ

NPI Status: Active since August 01, 2017

Contact Information

824 N 99TH AVE STE 107-108
AVONDALE, AZ
ZIP 85323
Phone: (623) 907-1457

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • Accepts Insurance

About 99TH AVE ACT

This page provides the complete NPI Profile along with additional information for 99th Ave Act, a provider established in Avondale, Arizona operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1023532025 assigned on August 2017. The practitioner's primary taxonomy code is 261QM0850X with license number OTC5972 (AZ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as 99th Ave Act. The authorized official of this NPI record is John Hogeboom Lisac (President/ceo)

NPI
1023532025
Provider Legal Name
COMMUNITY BRIDGES, INC.
Other Organization Name
99TH AVE ACT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
824 N 99TH AVE STE 107-108 AVONDALE, AZ 85323
Location Phone
(623) 907-1457
Mailing Address
1855 W BASELINE RD STE 101 MESA, AZ 85202
Mailing Phone
(480) 831-7566
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2017
Last Update Date
04-07-2022
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
OTC5972
License State
AZ
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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)
1251B00000XAgencies

Case Management

OTC5972 (AZ)
2251S00000XAgencies

Community/Behavioral Health

OTC5972 (AZ)
3261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

OTC5972 (AZ)
4261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

OTC5972 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AZ Blue ACA StandardHealth Silver with Health Choice - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JOHN HOGEBOOM LISAC

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(480) 831-7566

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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 1023532025, 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 5 → 10 → 1 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 0 + 3 + 4 + 0 + 4 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023532025.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
824 N 99TH AVE STE 107-108
AVONDALE, AZ 85323
Case Management
824 N 99TH AVE STE 107-108
AVONDALE, AZ 85323
Nurse Practitioner (Psychiatric/Mental Health)
824 N 99TH AVE STE 107-108
AVONDALE, AZ 85323

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023532025, enumerated as an "organization" on August 01, 2017.

The provider is located at 824 N 99TH AVE STE 107-108 AVONDALE, AZ 85323 and the phone number is (623) 907-1457.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.