AMERICAN BEHAVIORAL HEALTH SYSTEMS ISLAND OUTPATIENT
NPI 1124518881
Clinic/Center - Rehabilitation, Substance Use Disorder in Freeland, WA

NPI Status: Active since May 17, 2018

Contact Information

5548 MYRTLE AVE STE 202
FREELAND, WA
ZIP 98249
Phone: (509) 232-5766
Fax: (509) 321-5472

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 50D2195594
  • CLIA Cert. Type: Other - DRUG TREATMENT
  • CLIA Exp. Date: 04-04-2028

About AMERICAN BEHAVIORAL HEALTH SYSTEMS ISLAND OUTPATIENT

This page provides the complete NPI Profile along with additional information for American Behavioral Health Systems Island Outpatient, a provider established in Freeland, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1124518881 assigned on May 2018. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is American Behavioral Health Systems Island Outpatient. The authorized official of this NPI record is Tiffany Dawn Stretch (Cfo)

NPI
1124518881
Provider Legal Name
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
Other Organization Name
AMERICAN BEHAVIORAL HEALTH SYSTEMS ISLAND OUTPATIENT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5548 MYRTLE AVE STE 202 FREELAND, WA 98249
Location Phone
(509) 232-5766
Location Fax
(509) 321-5472
Mailing Address
PO BOX 141106 SPOKANE VALLEY, WA 99214
Mailing Phone
(509) 232-5766
Mailing Fax
(509) 321-5472
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-17-2018
Last Update Date
05-17-2018
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

TIFFANY DAWN STRETCH

Authorized Official Title
CFO
Authorized Official Phone
(509) 232-5766

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
50D2195594
Facility Type
Other - DRUG TREATMENT
Certificate Effective Date
October 09, 2020
Certificate Expiration Date
April 04, 2028
Laboratory Director
TONY PRENTICE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to American Behavioral Health Systems Island Outpatient to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1124518881, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 2 → 4 5 → 10 → 1 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 0 + 1 + 1 + 6 + 8 + 1 + 6 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1124518881.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Naturopath
5548 MYRTLE AVE STE 202
FREELAND, WA 98249
Marriage & Family Therapist
5548 MYRTLE AVE STE 202
FREELAND, WA 98249
Marriage & Family Therapist
5548 MYRTLE AVE STE 202
FREELAND, WA 98249
Specialist
5548 MYRTLE AVE STE 202
FREELAND, WA 98249

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124518881, enumerated as an "organization" on May 17, 2018.

The provider is located at 5548 MYRTLE AVE STE 202 FREELAND, WA 98249 and the phone number is (509) 232-5766.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.