HYATT HAVEN MENTAL HEALTH CLINIC
NPI 1063228559
Clinic/Center - Multi-Specialty in Orange Park, FL

NPI Status: Active since December 09, 2024

Contact Information

2140 KINGSLEY AVE STE 8
ORANGE PARK, FL
ZIP 32073
Phone: (904) 742-8623

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About HYATT HAVEN MENTAL HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Hyatt Haven Mental Health Clinic, a provider established in Orange Park, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1063228559 assigned on December 2024. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Hyatt Haven Mental Health Clinic 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 Dr. Jacquelyn Hyatt Pharmd (Owner/manager)

NPI
1063228559
Provider Name
HYATT HAVEN MENTAL HEALTH CLINIC
Entity Type
Organization
Location Address
2140 KINGSLEY AVE STE 8 ORANGE PARK, FL 32073
Location Phone
(904) 742-8623
Mailing Address
630 PLAINFIELD AVE ORANGE PARK, FL 32073
Mailing Phone
(904) 742-8623
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2024
Last Update Date
12-09-2024
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Location Map

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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2103T00000XBehavioral Health & Social Service Providers

Psychologist

 
3163W00000XNursing Service Providers

Registered Nurse

 
42084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
5363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental 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

DR. JACQUELYN HYATT PHARMD

Authorized Official Title
OWNER/MANAGER
Authorized Official Phone
(904) 742-8623

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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 1063228559, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 6 → 12 → 3 2 → 4 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 4 + 2 + 1 + 6 + 5 + 1 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1063228559.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063228559, enumerated as an "organization" on December 09, 2024.

The provider is located at 2140 KINGSLEY AVE STE 8 ORANGE PARK, FL 32073 and the phone number is (904) 742-8623.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.