EATING DISORDER TREATMENT OF NEW YORK, LLC
NPI 1114726411
Clinic/Center - Adolescent and Children Mental Health in West Nyack, NY

NPI Status: Active since March 10, 2025

Contact Information

259 SICKLETOWN RD
WEST NYACK, NY
ZIP 10994
Phone: (845) 379-9330

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About EATING DISORDER TREATMENT OF NEW YORK, LLC

This page provides the complete NPI Profile along with additional information for Eating Disorder Treatment Of New York, Llc, a provider established in West Nyack, New York operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1114726411 assigned on March 2025. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jason Schultz (Cfo)

NPI
1114726411
Provider Name
EATING DISORDER TREATMENT OF NEW YORK, LLC
Entity Type
Organization
Location Address
259 SICKLETOWN RD WEST NYACK, NY 10994
Location Phone
(845) 379-9330
Mailing Address
6100 SW 76TH ST SOUTH MIAMI, FL 33143
Mailing Phone
(845) 379-9330
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2025
Last Update Date
06-11-2025
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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

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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

JASON SCHULTZ

Authorized Official Title
CFO
Authorized Official Phone
(720) 440-4277

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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 1114726411, 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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
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 1 → 2 7 → 14 → 5 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 4 + 2 + 1 + 2 + 4 + 2 + 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 1114726411.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114726411, enumerated as an "organization" on March 10, 2025.

The provider is located at 259 SICKLETOWN RD WEST NYACK, NY 10994 and the phone number is (845) 379-9330.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.