AJ ADULT WITH SERIOUS MENTAL ILLNESS PROGRAM
NPI 1114462306
Community/Behavioral Health in Apache Junction, AZ

NPI Status: Active since December 27, 2016

Contact Information

11518 E APACHE TRL
#129
APACHE JUNCTION, AZ
ZIP 85120
Phone: (480) 784-1514
Fax: (480) 967-3528

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  • Organization
  • Community/Behavioral Health

About AJ ADULT WITH SERIOUS MENTAL ILLNESS PROGRAM

This page provides the complete NPI Profile along with additional information for Aj Adult With Serious Mental Illness Program, a provider established in Apache Junction, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1114462306 assigned on December 2016. The practitioner's primary taxonomy code is 251S00000X with license number OTC7842-5DUT11 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Aj Adult With Serious Mental Illness Program. The authorized official of this NPI record is Laura Larson-huffacker (Executive Director)

NPI
1114462306
Provider Legal Name
EMPACT - SUICIDE PREVENTION CENTER
Other Organization Name
AJ ADULT WITH SERIOUS MENTAL ILLNESS PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
11518 E APACHE TRL #129 APACHE JUNCTION, AZ 85120
Location Phone
(480) 784-1514
Location Fax
(480) 967-3528
Mailing Address
618 S MADISON DR TEMPE, AZ 85281
Mailing Phone
(480) 784-1514
Mailing Fax
(480) 967-3528
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2016
Last Update Date
12-27-2016
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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.
OTC7842-5DUT11
License State
AZ
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

LAURA LARSON-HUFFACKER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(480) 784-1514

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
183711MEDICAID (05)AZ 

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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 1114462306, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 1 → 2 4 → 8 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 8 + 6 + 4 + 3 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1114462306.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Chiropractor
11518 E APACHE TRL, 119
APACHE JUNCTION, AZ 85120
Specialist
11518 E APACHE TRL, 116
APACHE JUNCTION, AZ 85120
Community/Behavioral Health
11518 E APACHE TRL, #129
APACHE JUNCTION, AZ 85120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114462306, enumerated as an "organization" on December 27, 2016.

The provider is located at 11518 E APACHE TRL #129 APACHE JUNCTION, AZ 85120 and the phone number is (480) 784-1514.

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.