INDIVIDUAL PROVIDER
NPI 1033587795
Community/Behavioral Health in Longwood, FL

NPI Status: Active since September 10, 2015

Contact Information

650 PALERMO VISTA CT
LONGWOOD, FL
ZIP 32750
Phone: (317) 697-8932

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  • Organization
  • Community/Behavioral Health

About INDIVIDUAL PROVIDER

This page provides the complete NPI Profile along with additional information for Individual Provider, a provider established in Longwood, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1033587795 assigned on September 2015. The practitioner's primary taxonomy code is 251S00000X with license number ISW10093 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Christine Marie Garry (Master's Level Contract Clinician)

NPI
1033587795
Provider Name
INDIVIDUAL PROVIDER
Entity Type
Organization
Location Address
650 PALERMO VISTA CT LONGWOOD, FL 32750
Location Phone
(317) 697-8932
Mailing Address
650 PALERMO VISTA CT LONGWOOD, FL 32750
Mailing Phone
(317) 697-8932
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2015
Last Update Date
09-10-2015
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
ISW10093
License State
FL
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

MS. CHRISTINE MARIE GARRY

Authorized Official Title
MASTER'S LEVEL CONTRACT CLINICIAN
Authorized Official Phone
(317) 697-8932

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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.
1033587795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206310814718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 0 + 8 + 1 + 4 + 7 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1033587795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033587795, enumerated as an "organization" on September 10, 2015.

The provider is located at 650 PALERMO VISTA CT LONGWOOD, FL 32750 and the phone number is (317) 697-8932.

Community/Behavioral Health with taxonomy code 251S00000X.