SPARK BEHAVIORAL HEALTH
NPI 1114763372
Early Intervention Provider Agency in Burnsville, MN

NPI Status: Active since July 06, 2024

Contact Information

12751 COUNTY ROAD 5 STE 109
BURNSVILLE, MN
ZIP 55337
Phone: (952) 213-9989

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  • Organization
  • Early Intervention Provider Agency

About SPARK BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Spark Behavioral Health, a provider established in Burnsville, Minnesota operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1114763372 assigned on July 2024. The practitioner's primary taxonomy code is 252Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mohamed A Mohamed (Authorized Agent)

NPI
1114763372
Provider Name
SPARK BEHAVIORAL HEALTH
Entity Type
Organization
Location Address
12751 COUNTY ROAD 5 STE 109 BURNSVILLE, MN 55337
Location Phone
(952) 213-9989
Mailing Address
12751 COUNTY ROAD 5 STE 109 BURNSVILLE, MN 55337
Mailing Phone
(952) 213-9989
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2024
Last Update Date
07-06-2024
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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

Early Intervention Provider Agency

Taxonomy Code
252Y00000X
Type
Agencies
Taxonomy Description
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

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

MOHAMED A MOHAMED

Authorized Official Title
AUTHORIZED AGENT
Authorized Official Phone
(952) 213-9989

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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 1114763372, 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.

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
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 3 → 6 7 → 14 → 5

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 + 6 + 6 + 3 + 1 + 4 + 24 = 58

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.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114763372.

Other Providers at the Same Location


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

Behavior Technician
12751 COUNTY ROAD 5 STE 109
BURNSVILLE, MN 55337
Behavior Technician
12751 COUNTY ROAD 5 STE 109
BURNSVILLE, MN 55337
Behavior Technician
12751 COUNTY ROAD 5 STE 109
BURNSVILLE, MN 55337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114763372, enumerated as an "organization" on July 06, 2024.

The provider is located at 12751 COUNTY ROAD 5 STE 109 BURNSVILLE, MN 55337 and the phone number is (952) 213-9989.

Early Intervention Provider Agency with taxonomy code 252Y00000X.