NICHOLAS ERIC RAY MAT
NPI 1104415801
Clinic/Center - Developmental Disabilities in Germantown, TN

NPI Status: Active since January 16, 2021

Contact Information

1507 POPLAR ESTATES PKWY
GERMANTOWN, TN
ZIP 38138
Phone: (901) 828-1146

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  • Individual
  • Male
  • Clinic/Center
  • Developmental Disabilities

About NICHOLAS RAY

This page provides the complete NPI Profile along with additional information for Nicholas Ray, a provider established in Germantown, Tennessee with a medical specialization in Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1104415801 assigned on January 2021. The practitioner's primary taxonomy code is 261QD1600X with license number 200004323 (TN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1104415801
Provider Name
NICHOLAS ERIC RAY MAT
Gender
Male
Entity Type
Individual
Location Address
1507 POPLAR ESTATES PKWY GERMANTOWN, TN 38138
Location Phone
(901) 828-1146
Mailing Address
1507 POPLAR ESTATES PKWY GERMANTOWN, TN 38138
Mailing Phone
(901) 828-1146
Is Sole Proprietor?
Yes
Enumeration Date
01-16-2021
Last Update Date
01-16-2021
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
License No.
200004323
License State
TN
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.).

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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 1104415801, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 8 + 1 + 1 + 0 + 8 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104415801.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104415801, enumerated as an "individual" on January 16, 2021.

The provider is located at 1507 POPLAR ESTATES PKWY GERMANTOWN, TN 38138 and the phone number is (901) 828-1146.

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