ASHLEY ADDICTION TREATMENT
NPI 1104373562
Psychiatry & Neurology - Addiction Medicine in Elkton, MD
NPI Status: Active since September 02, 2016
Contact Information
111 W HIGH ST
ELKTON, MD
ZIP 21921
Phone: (443) 760-3620
Fax: (443) 371-2638
- Organization
- Psychiatry & Neurology
- Addiction Medicine
- CLIA Number: 21D0722552
- CLIA Cert. Type: Other
- CLIA Exp. Date: 02-01-2027
About ASHLEY ADDICTION TREATMENT
This page provides the complete NPI Profile along with additional information for Ashley Addiction Treatment, a provider established in Elkton, Maryland operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1104373562 assigned on September 2016. The practitioner's primary taxonomy code is 2084A0401X with license number 100634 (MD). The provider is registered as an organization and their NPI record was last updated 10 years ago. Ashley Addiction Treatment operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ashley Addiction Treatment. The authorized official of this NPI record is Albert Germann Cpa (Cfo)
- NPI
- 1104373562
- Provider Legal Name
- ASHLEY, INC.
- Other Organization Name
- ASHLEY ADDICTION TREATMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 111 W HIGH ST ELKTON, MD 21921
- Location Phone
- (443) 760-3620
- Location Fax
- (443) 371-2638
- Mailing Address
- 800 TYDINGS LN HAVRE DE GRACE, MD 21078
- Mailing Phone
- (800) 799-4673
- Mailing Fax
- (443) 371-2638
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-02-2016
- Last Update Date
- 09-02-2016
- Code Navigator
Location Map
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
Psychiatry & Neurology Addiction Medicine
- Taxonomy Code
- 2084A0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 100634
- License State
- MD
- Taxonomy Description
- A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | 100634 (MD) |
| 2 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | 100634 (MD) |
| 3 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 100634 (MD) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 21D0722552
- Facility Type
- Other
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- DR. DANIEL J. BOCHICCHIO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ashley Addiction Treatment to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1104373562, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ELKTON, MD 21921
ELKTON, MD 21921
ELKTON, MD 21921
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104373562, enumerated as an "organization" on September 02, 2016.
The provider is located at 111 W HIGH ST ELKTON, MD 21921 and the phone number is (443) 760-3620.
Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.
