PRAIRIE ST. JOHN'S CLINIC
NPI 1073601258
Clinic/Center - Adolescent and Children Mental Health in Woodbury, MN

NPI Status: Active since October 11, 2006

Contact Information

7616 CURRELL BLVD
SUITE 100
WOODBURY, MN
ZIP 55125
Phone: (651) 259-9700
Fax: (651) 259-9740

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

About PRAIRIE ST. JOHN'S CLINIC

This page provides the complete NPI Profile along with additional information for Prairie St. John's Clinic, a provider established in Woodbury, Minnesota operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1073601258 assigned on October 2006. The practitioner's primary taxonomy code is 261QM0855X with license number 5063A (ND). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Jerry W Magnison Cfo (Chief Financial Officer)

NPI
1073601258
Provider Name
PRAIRIE ST. JOHN'S CLINIC
Entity Type
Organization
Location Address
7616 CURRELL BLVD SUITE 100 WOODBURY, MN 55125
Location Phone
(651) 259-9700
Location Fax
(651) 259-9740
Mailing Address
510 4TH ST S PO BOX 2027 FARGO, ND 58103
Mailing Phone
(701) 476-7221
Mailing Fax
(651) 259-9740
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2006
Last Update Date
08-22-2020
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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.
5063A
License State
ND
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. JERRY W MAGNISON CFO

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(701) 476-7221

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
238T5PROTHER (01)MNMINNESOTA BLUE CROSS

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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 1073601258, we treat the final digit (8) 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 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 7 → 14 → 5 6 → 12 → 3 1 → 2 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 + 4 + 3 + 1 + 2 + 0 + 2 + 2 + 1 + 0 + 24 = 42

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

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1073601258.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
7616 CURRELL BLVD, SUITE 275
WOODBURY, MN 55125
Social Worker
7616 CURRELL BLVD, SUITE 275
WOODBURY, MN 55125
Social Worker (Clinical)
7616 CURRELL BLVD, SUITE 290
WOODBURY, MN 55125
Psychologist (Clinical)
7616 CURRELL BLVD, SUITE 290
WOODBURY, MN 55125
Physical Therapist
7616 CURRELL BLVD, #270
WOODBURY, MN 55125
Marriage & Family Therapist
7616 CURRELL BLVD, SUITE 290
WOODBURY, MN 55125
Social Worker (Clinical)
7616 CURRELL BLVD, SUITE 280
WOODBURY, MN 55125
Psychologist (Counseling)
7616 CURRELL BLVD, SUITE 290
WOODBURY, MN 55125
Marriage & Family Therapist
7616 CURRELL BLVD
WOODBURY, MN 55125
Counselor (Professional)
7616 CURRELL BLVD, SUITE 280
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
7616 CURRELL BLVD
WOODBURY, MN 55125
Psychiatry & Neurology (Psychiatry)
7616 CURRELL BLVD, SUITE 100
WOODBURY, MN 55125
In Home Supportive Care
7616 CURRELL BLVD, SUITE 200
WOODBURY, MN 55125
Social Worker (Clinical)
7616 CURRELL BLVD, SUITE 110
WOODBURY, MN 55125
Community/Behavioral Health
7616 CURRELL BLVD, STE. 280
WOODBURY, MN 55125
Marriage & Family Therapist
7616 CURRELL BLVD
WOODBURY, MN 55125
Marriage & Family Therapist
7616 CURRELL BLVD
WOODBURY, MN 55125
Home Health
7616 CURRELL BLVD, SUITE 175
WOODBURY, MN 55125
Nurse Practitioner (Adult Health)
7616 CURRELL BLVD
WOODBURY, MN 55125
Social Worker
7616 CURRELL BLVD, SUITE 100
SAINT PAUL, MN 55125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073601258, enumerated as an "organization" on October 11, 2006.

The provider is located at 7616 CURRELL BLVD SUITE 100 WOODBURY, MN 55125 and the phone number is (651) 259-9700.

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

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.