NEURODIVERSITY EDUCATION RESEARCH CENTER
NPI 1093550535
Clinic/Center - Developmental Disabilities in Phoenix, AZ

NPI Status: Active since June 26, 2024

Contact Information

1375 E BROADWAY RD
PHOENIX, AZ
ZIP 85040
Phone: (602) 832-4708

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About NEURODIVERSITY EDUCATION RESEARCH CENTER

This page provides the complete NPI Profile along with additional information for Neurodiversity Education Research Center, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1093550535 assigned on June 2024. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kenneth Mims (Ceo)

NPI
1093550535
Provider Name
NEURODIVERSITY EDUCATION RESEARCH CENTER
Entity Type
Organization
Location Address
1375 E BROADWAY RD PHOENIX, AZ 85040
Location Phone
(602) 832-4708
Mailing Address
515 E GRANT ST STE 150 PHOENIX, AZ 85004
Mailing Phone
(602) 832-4708
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2024
Last Update Date
06-26-2024
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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 Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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

KENNETH MIMS

Authorized Official Title
CEO
Authorized Official Phone
(480) 939-6013

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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 1093550535, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 9 → 18 → 9 5 → 10 → 1 0 → 0 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 + 8 + 3 + 1 + 0 + 5 + 0 + 5 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1093550535.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093550535, enumerated as an "organization" on June 26, 2024.

The provider is located at 1375 E BROADWAY RD PHOENIX, AZ 85040 and the phone number is (602) 832-4708.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.