REVIVE RECOVERY
NPI 1023745908
Psychologist - Addiction (Substance Use Disorder) in Melba, ID

NPI Status: Active since August 02, 2022

Contact Information

7894 MURPHY RD
MELBA, ID
ZIP 83641
Phone: (909) 241-7555

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  • Organization
  • Psychologist
  • Addiction (Substance Use Disorder)

About REVIVE RECOVERY

This page provides the complete NPI Profile along with additional information for Revive Recovery, a provider established in Melba, Idaho operating as a Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1023745908 assigned on August 2022. The practitioner's primary taxonomy code is 103TA0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Revive Recovery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sherryl York Rn (Owner)

NPI
1023745908
Provider Name
REVIVE RECOVERY
Entity Type
Organization
Location Address
7894 MURPHY RD MELBA, ID 83641
Location Phone
(909) 241-7555
Mailing Address
2432 W BAY POINTE AVE NAMPA, ID 83651
Mailing Phone
(909) 241-7555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2022
Last Update Date
08-02-2022
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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

Psychologist Addiction (Substance Use Disorder)

Taxonomy Code
103TA0400X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

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)
12084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

 
2251S00000XAgencies

Community/Behavioral Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

SHERRYL YORK RN

Authorized Official Title
OWNER
Authorized Official Phone
(909) 241-7555

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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 1023745908, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 7 → 14 → 5 5 → 10 → 1 0 → 0

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 + 4 + 4 + 1 + 0 + 9 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1023745908.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023745908, enumerated as an "organization" on August 02, 2022.

The provider is located at 7894 MURPHY RD MELBA, ID 83641 and the phone number is (909) 241-7555.

Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).