MIND-BODY WELLNESS CENTER
NPI 1124083928
Clinic/Center - Multi-Specialty in Meadville, PA
NPI Status: Active since April 18, 2006
Contact Information
18201 CONNEAUT LAKE RD
MEADVILLE, PA
ZIP 16335
Phone: (814) 333-5060
Fax: (814) 333-5067
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 39D1079650
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 07-22-2027
About MIND-BODY WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for Mind-body Wellness Center, a provider established in Meadville, Pennsylvania operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1124083928 assigned on April 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Mind-body Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Mind-body Wellness Center. The authorized official of this NPI record is Renato Suntay (Ceo)
- NPI
- 1124083928
- Provider Legal Name
- MEADVILLE MEDICAL CENTER
- Other Organization Name
- MIND-BODY WELLNESS CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 18201 CONNEAUT LAKE RD MEADVILLE, PA 16335
- Location Phone
- (814) 333-5060
- Location Fax
- (814) 333-5067
- Mailing Address
- 1034 GROVE ST MEADVILLE, PA 16335
- Mailing Phone
- (814) 333-5060
- Mailing Fax
- (814) 333-5067
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-18-2006
- Last Update Date
- 08-15-2023
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 02218 (PA) |
| 2 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | DN000047 (PA) |
| 5 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | DN001984 (PA) |
| 6 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
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
- 39D1079650
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- July 23, 2025
- Certificate Expiration Date
- July 22, 2027
- Laboratory Director
- DR. DAVID AZAR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mind-body Wellness Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1124083928, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. 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.
MEADVILLE, PA 16335
MEADVILLE, PA 16335
MEADVILLE, PA 16335
MEADVILLE, PA 16335
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124083928, enumerated as an "organization" on April 18, 2006.
The provider is located at 18201 CONNEAUT LAKE RD MEADVILLE, PA 16335 and the phone number is (814) 333-5060.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
