MR. SHAYNE THOMAS KELLEY
NPI 1063878130
Clinic/Center - Mental Health (Including Community Mental Health Center) in Thousand Oaks, CA

NPI Status: Active since January 05, 2016

Contact Information

187 E WILBUR RD STE 14
THOUSAND OAKS, CA
ZIP 91360
Phone: (818) 253-4150

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  • Individual
  • Male
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • PECOS Enrolled

About SHAYNE KELLEY

This page provides the complete NPI Profile along with additional information for Shayne Kelley, a provider established in Thousand Oaks, California with a medical specialization in Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1063878130 assigned on January 2016. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1063878130
Provider Name
MR. SHAYNE THOMAS KELLEY
Gender
Male
Entity Type
Individual
Location Address
187 E WILBUR RD STE 14 THOUSAND OAKS, CA 91360
Location Phone
(818) 253-4150
Mailing Address
187 E WILBUR RD STE 14 THOUSAND OAKS, CA 91360
Mailing Phone
(818) 253-4150
Is Sole Proprietor?
Yes
Enumeration Date
01-05-2016
Last Update Date
04-25-2024
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Medicare Participation & PECOS Enrollment Status

Shayne Kelley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 91360 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $185.36
  • Minimum New Patient Price $62.32
  • Maximum New Patient Price $185.36
  • Average New Patient Copayment $46.34
  • Minimum New Patient Copayment $15.58
  • Maximum New Patient Copayment $46.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $108.74
  • Minimum Established Patient Price $20.68
  • Maximum Established Patient Price $151.85
  • Average Established Patient Copayment $27.18
  • Minimum Established Patient Copayment $5.17
  • Maximum Established Patient Copayment $37.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1063878130, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 8 → 16 → 7 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 + 2 + 3 + 1 + 6 + 7 + 1 + 6 + 1 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1063878130.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063878130, enumerated as an "individual" on January 05, 2016.

The provider is located at 187 E WILBUR RD STE 14 THOUSAND OAKS, CA 91360 and the phone number is (818) 253-4150.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).