EATING DISORDER TREATMENT OF NEW YORK, LLC
NPI 1023560380
Clinic/Center - Adolescent and Children Mental Health in Briarcliff Manor, NY

NPI Status: Active since November 02, 2016

Contact Information

233 PINE RD
BRIARCLIFF MANOR, NY
ZIP 10510
Phone: (310) 589-8999
Fax: (310) 589-9201

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health
  • CLIA Number: 33D2157952
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-26-2027

About EATING DISORDER TREATMENT OF NEW YORK, LLC

This page provides the complete NPI Profile along with additional information for Eating Disorder Treatment Of New York, Llc, a provider established in Briarcliff Manor, New York operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1023560380 assigned on November 2016. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mr. Jason Shultz (Chief Financial Officer)

NPI
1023560380
Provider Legal Name
EATING DISORDER TREATMENT OF NEW YORK, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
233 PINE RD BRIARCLIFF MANOR, NY 10510
Location Phone
(310) 589-8999
Location Fax
(310) 589-9201
Mailing Address
6100 SW 76TH STREET SOUTH MIAMI, FL 33143
Mailing Phone
(305) 663-1876
Mailing Fax
(310) 589-9201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2016
Last Update Date
06-11-2025
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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 Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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

MR. JASON SHULTZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(720) 440-4277

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
33D2157952
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
November 16, 2018
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MOLLY M. PERLMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eating Disorder Treatment Of New York, Llc 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 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 1023560380, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
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 0 → 0 8 → 16 → 7

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 + 6 + 0 + 3 + 1 + 6 + 24 = 50

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

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

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1023560380.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
233 PINE RD
BRIARCLIFF MANOR, NY 10510
Social Worker (Clinical)
233 PINE RD
BRIARCLIFF MANOR, NY 10510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023560380, enumerated as an "organization" on November 02, 2016.

The provider is located at 233 PINE RD BRIARCLIFF MANOR, NY 10510 and the phone number is (310) 589-8999.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.