ECLIPSE PSYCHIATRY, PLC
NPI 1023642360
Clinic/Center - Mental Health (Including Community Mental Health Center) in Maricopa, AZ

NPI Status: Active since February 25, 2020

Contact Information

21300 N JOHN WAYNE PKWY STE 103
MARICOPA, AZ
ZIP 85139
Phone: (308) 224-4101

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About ECLIPSE PSYCHIATRY, PLC

This page provides the complete NPI Profile along with additional information for Eclipse Psychiatry, Plc, a provider established in Maricopa, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1023642360 assigned on February 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Paula Danielle Brungardt Dnp, Aprn (Nurse Practitioner, Owner)

NPI
1023642360
Provider Name
ECLIPSE PSYCHIATRY, PLC
Entity Type
Organization
Location Address
21300 N JOHN WAYNE PKWY STE 103 MARICOPA, AZ 85139
Location Phone
(308) 224-4101
Mailing Address
5805 I AVE KEARNEY, NE 68847
Mailing Phone
(308) 224-4101
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2020
Last Update Date
05-15-2020
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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. PAULA DANIELLE BRUNGARDT DNP, APRN

Authorized Official Title
NURSE PRACTITIONER, OWNER
Authorized Official Phone
(308) 224-4101

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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.
1023642360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431244312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 2 + 4 + 4 + 3 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1023642360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NORTHERN LIGHTS THERAPY PLLC

Counselor

(Mental Health)

21300 N JOHN WAYNE PKWY STE 103
MARICOPA, AZ
ZIP 85139

(623) 243-2774

MRS. BRIANNA REINHOLD LPC

Counselor

(Mental Health)

21300 N JOHN WAYNE PKWY STE 103
MARICOPA, AZ
ZIP 85139

(623) 243-2774

MRS. DANA LEA MCGEE LAC

Counselor

(Mental Health)

21300 N JOHN WAYNE PKWY STE 103
MARICOPA, AZ
ZIP 85139

(480) 524-2699

LISA MIA HOLDEN LAMFT

Marriage & Family Therapist

21300 N JOHN WAYNE PKWY STE 103
MARICOPA, AZ
ZIP 85139

(520) 560-3362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023642360, enumerated as an "organization" on February 25, 2020.

The provider is located at 21300 N JOHN WAYNE PKWY STE 103 MARICOPA, AZ 85139 and the phone number is (308) 224-4101.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).