EPIPHANY WELLNESS
NPI 1053088336
Clinic/Center - Rehabilitation, Substance Use Disorder in Blackwood, NJ

NPI Status: Active since August 25, 2021

Contact Information

461 ROUTE 168
BLACKWOOD, NJ
ZIP 08012
Phone: (215) 526-8093

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 31D2245686
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE OUTPATIEN
  • CLIA Exp. Date: 12-14-2027

About EPIPHANY WELLNESS

This page provides the complete NPI Profile along with additional information for Epiphany Wellness, a provider established in Blackwood, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1053088336 assigned on August 2021. The practitioner's primary taxonomy code is 261QR0405X. 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 Mr. Shawn Mcbrien (Co Founder/coo)

NPI
1053088336
Provider Name
EPIPHANY WELLNESS
Entity Type
Organization
Location Address
461 ROUTE 168 BLACKWOOD, NJ 08012
Location Phone
(215) 526-8093
Mailing Address
25 BEECHNUT LN WILLINGBORO, NJ 08046
Mailing Phone
(215) 526-8093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2021
Last Update Date
08-25-2021
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
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

MR. SHAWN MCBRIEN

Authorized Official Title
CO FOUNDER/COO
Authorized Official Phone
(215) 526-8093

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
31D2245686
Facility Type
Other - SUBSTANCE ABUSE OUTPATIEN
Certificate Effective Date
December 15, 2025
Certificate Expiration Date
December 14, 2027
Laboratory Director
DR. ERIKA STEINBRENNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Epiphany Wellness 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 1053088336, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 5 → 10 → 1 0 → 0 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 0 + 8 + 1 + 6 + 3 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053088336.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053088336, enumerated as an "organization" on August 25, 2021.

The provider is located at 461 ROUTE 168 BLACKWOOD, NJ 08012 and the phone number is (215) 526-8093.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.