PSYCHOLOGICAL HEALTH CENTER OF SUFFIELD, LLC
NPI 1104077759
Community/Behavioral Health in Suffield, CT

NPI Status: Active since October 01, 2008

Contact Information

230B MOUNTAIN RD
LOWER LEVEL
SUFFIELD, CT
ZIP 06078
Phone: (860) 254-5991

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  • Organization
  • Community/Behavioral Health

About PSYCHOLOGICAL HEALTH CENTER OF SUFFIELD, LLC

This page provides the complete NPI Profile along with additional information for Psychological Health Center Of Suffield, Llc, a provider established in Suffield, Connecticut operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104077759 assigned on October 2008. The practitioner's primary taxonomy code is 251S00000X with license number 006144 (CT). The provider is registered as an organization and their NPI record was last updated 3 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 Shannon Lee Ayotte Stauffer L.c.s.w. (Owner)

NPI
1104077759
Provider Name
PSYCHOLOGICAL HEALTH CENTER OF SUFFIELD, LLC
Entity Type
Organization
Location Address
230B MOUNTAIN RD LOWER LEVEL SUFFIELD, CT 06078
Location Phone
(860) 254-5991
Mailing Address
880 BURBANK AVE STE 2B SUFFIELD, CT 06078
Mailing Phone
(860) 989-7875
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2008
Last Update Date
03-28-2023
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
006144
License State
CT
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Group Taxonomy 193400000X 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

SHANNON LEE AYOTTE STAUFFER L.C.S.W.

Authorized Official Title
OWNER
Authorized Official Phone
(860) 989-7875

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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 1104077759, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 0 → 0 0 → 0 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 0 + 7 + 1 + 4 + 7 + 1 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104077759.

Other Providers at the Same Location


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

Counselor (Professional)
230B MOUNTAIN RD
SUFFIELD, CT 06078
Counselor (Mental Health)
230B MOUNTAIN RD
SUFFIELD, CT 06078
Counselor (Mental Health)
230B MOUNTAIN RD
SUFFIELD, CT 06078
Optometrist
230B MOUNTAIN RD
SUFFIELD, CT 06078
Counselor (Mental Health)
230B MOUNTAIN RD
SUFFIELD, CT 06078
Neuromusculoskeletal Medicine, Sports Medicine
230B MOUNTAIN RD
SUFFIELD, CT 06078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104077759, enumerated as an "organization" on October 01, 2008.

The provider is located at 230B MOUNTAIN RD LOWER LEVEL SUFFIELD, CT 06078 and the phone number is (860) 254-5991.

Community/Behavioral Health with taxonomy code 251S00000X.