COMMUNITY RESIDENCES INC.
NPI 1063782662
Clinic/Center - Adolescent and Children Mental Health in Newington, CT

NPI Status: Active since January 12, 2012

Contact Information

205 KELSEY ST
UNIT 12
NEWINGTON, CT
ZIP 06111
Phone: (860) 878-6858
Fax: (860) 665-9679

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About COMMUNITY RESIDENCES INC.

This page provides the complete NPI Profile along with additional information for Community Residences Inc., a provider established in Newington, Connecticut operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1063782662 assigned on January 2012. The practitioner's primary taxonomy code is 261QM0855X with license number OPCC68 (CT). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Amy Maguda Lcsw (Community Based Svcs Coordinator)

NPI
1063782662
Provider Name
COMMUNITY RESIDENCES INC.
Entity Type
Organization
Location Address
205 KELSEY ST UNIT 12 NEWINGTON, CT 06111
Location Phone
(860) 878-6858
Location Fax
(860) 665-9679
Mailing Address
732 WEST ST SOUTHINGTON, CT 06489
Mailing Phone
(860) 621-7600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2012
Last Update Date
02-18-2015
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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

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
OPCC68
License State
CT
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

0520 (CT)
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

0432 (CT)

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

AMY MAGUDA LCSW

Authorized Official Title
COMMUNITY BASED SVCS COORDINATOR
Authorized Official Phone
(860) 878-6858

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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 1063782662, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
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 7 → 14 → 5 2 → 4 6 → 12 → 3

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 + 1 + 4 + 8 + 4 + 6 + 1 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1063782662.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
205 KELSEY ST, SUITE 104
NEWINGTON, CT 06111
Home Health
205 KELSEY ST, SUITE 104
NEWINGTON, CT 06111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063782662, enumerated as an "organization" on January 12, 2012.

The provider is located at 205 KELSEY ST UNIT 12 NEWINGTON, CT 06111 and the phone number is (860) 878-6858.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.