JACKSON VA CARE SITE
NPI 1154784965
Psychiatric Residential Treatment Facility in Jackson, MS

NPI Status: Active since March 30, 2016

Contact Information

1500 WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (615) 355-3451

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  • Psychiatric Residential Treatment Facili...

About JACKSON VA CARE SITE

This page provides the complete NPI Profile along with additional information for Jackson Va Care Site, a provider established in Jackson, Mississippi operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1154784965 assigned on March 2016. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Jackson Va Care Site. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1154784965
Provider Legal Name
JACKSON VAMC
Other Organization Name
JACKSON VA CARE SITE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1500 WOODROW WILSON AVE JACKSON, MS 39216
Location Phone
(615) 355-3451
Mailing Address
PO BOX 94497 CLEVELAND, OH 44101
Mailing Phone
(615) 355-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2016
Last Update Date
10-04-2017
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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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 1154784965, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 5 → 10 → 1 7 → 14 → 5 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 4 + 8 + 8 + 9 + 1 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1154784965.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Ophthalmology
1500 WOODROW WILSON AVE, G. V. 'SONNY' MONTGOMERY VA MEDICAL CENTER
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154784965, enumerated as an "organization" on March 30, 2016.

The provider is located at 1500 WOODROW WILSON AVE JACKSON, MS 39216 and the phone number is (615) 355-3451.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.