CHESAPEAKE WELLNESS CENTER
NPI 1083163307
Family Medicine - Addiction Medicine in Cecilton, MD

NPI Status: Active since September 28, 2016

Contact Information

251 S BOHEMIA AVE
CECILTON, MD
ZIP 21913
Phone: (410) 275-8156
Fax: (877) 433-6830

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  • Organization
  • Family Medicine
  • Addiction Medicine
  • CLIA Number: 21D1024274
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-06-2026

About CHESAPEAKE WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Chesapeake Wellness Center, a provider established in Cecilton, Maryland operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1083163307 assigned on September 2016. The practitioner's primary taxonomy code is 207QA0401X with license number H0056426 (MD). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Linda Jean Katz (Sole Member)

NPI
1083163307
Provider Name
CHESAPEAKE WELLNESS CENTER
Entity Type
Organization
Location Address
251 S BOHEMIA AVE CECILTON, MD 21913
Location Phone
(410) 275-8156
Location Fax
(877) 433-6830
Mailing Address
79 PORT HERMAN RD CHESAPEAKE CITY, MD 21915
Mailing Phone
(410) 275-8156
Mailing Fax
(877) 433-6830
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2016
Last Update Date
12-14-2016
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
H0056426
License State
MD
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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)
1103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

XK8322339 (MD)
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

R177831 (MD)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

LINDA JEAN KATZ

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(410) 275-8156

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
21D1024274
Facility Type
Physician Office
Certificate Effective Date
April 07, 2024
Certificate Expiration Date
April 06, 2026
Laboratory Director
PAUL M. KATZ DO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Chesapeake Wellness Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1083163307, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 2 + 6 + 6 + 3 + 0 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1083163307.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
251 S BOHEMIA AVE
CECILTON, MD 21913
Clinic/Center (Mental Health (Including Community Mental Health Center))
251 S BOHEMIA AVE
CECILTON, MD 21913
Clinic/Center (Mental Health (Including Community Mental Health Center))
251 S BOHEMIA AVE
CECILTON, MD 21913
Clinic/Center (Mental Health (Including Community Mental Health Center))
251 S BOHEMIA AVE
CECILTON, MD 21913
Clinic/Center (Mental Health (Including Community Mental Health Center))
251 S BOHEMIA AVE
CECILTON, MD 21913
Family Medicine (Addiction Medicine)
251 S BOHEMIA AVE
CECILTON, MD 21913

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083163307, enumerated as an "organization" on September 28, 2016.

The provider is located at 251 S BOHEMIA AVE CECILTON, MD 21913 and the phone number is (410) 275-8156.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.