MENTOR-MARYLAND
NPI 1104352368
Community/Behavioral Health in Frederick, MD

NPI Status: Active since May 10, 2017

Contact Information

5970 FREDERICK CROSSING LANE
#202
FREDERICK, MD
ZIP 21704
Phone: (301) 524-0977

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  • Organization
  • Community/Behavioral Health

About MENTOR-MARYLAND

This page provides the complete NPI Profile along with additional information for Mentor-maryland, a provider established in Frederick, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104352368 assigned on May 2017. The practitioner's primary taxonomy code is 251S00000X with license number MH-2279 (MD). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Carol Ivy Simmons Ph.d., Lcsw-c (Director, Omhc)

NPI
1104352368
Provider Name
MENTOR-MARYLAND
Entity Type
Organization
Location Address
5970 FREDERICK CROSSING LANE #202 FREDERICK, MD 21704
Location Phone
(301) 524-0977
Mailing Address
5720 EXECUTIVE DRIVE CATONSVILLE, MD 21228
Mailing Phone
(410) 455-4600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2017
Last Update Date
05-10-2017
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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.
MH-2279
License State
MD
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.

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.

*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

DR. CAROL IVY SIMMONS PH.D., LCSW-C

Authorized Official Title
DIRECTOR, OMHC
Authorized Official Phone
(410) 455-4600

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
056668MEDICAID (05)MD 

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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 1104352368, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 0 → 0 3 → 6 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 6 + 5 + 4 + 3 + 1 + 2 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104352368.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104352368, enumerated as an "organization" on May 10, 2017.

The provider is located at 5970 FREDERICK CROSSING LANE #202 FREDERICK, MD 21704 and the phone number is (301) 524-0977.

Community/Behavioral Health with taxonomy code 251S00000X.

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