MINDFUL BEHAVIOR SUPPORT INC
NPI 1154983765
Specialist in Eugene, OR

NPI Status: Active since July 03, 2019

Contact Information

492 E 13TH AVE
EUGENE, OR
ZIP 97401
Phone: (541) 520-6440

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  • Organization
  • Specialist

About MINDFUL BEHAVIOR SUPPORT INC

This page provides the complete NPI Profile along with additional information for Mindful Behavior Support Inc, a provider established in Eugene, Oregon operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1154983765 assigned on July 2019. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jennifer Wells Ph.d. (President)

NPI
1154983765
Provider Name
MINDFUL BEHAVIOR SUPPORT INC
Entity Type
Organization
Location Address
492 E 13TH AVE EUGENE, OR 97401
Location Phone
(541) 520-6440
Mailing Address
PO BOX 210 DEXTER, OR 97431
Mailing Phone
(541) 520-6440
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2019
Last Update Date
07-03-2019
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

JENNIFER WELLS PH.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(541) 520-6440

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154983765
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041886712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 8 + 8 + 6 + 7 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1154983765 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

MS. SHANNON LYNN HOELL LMT

Massage Therapist

492 E 13TH AVE
#103
EUGENE, OR
ZIP 97401

(541) 968-2390

MARY WENDY DORAN LMT

Massage Therapist

492 E 13TH AVE
SUITE 105
EUGENE, OR
ZIP 97401

(541) 686-3565

DEAN ALAN WALKER PH.D.

Psychologist

492 E 13TH AVE
SUITE 204
EUGENE, OR
ZIP 97401

(541) 683-5336

BRIAN S. GORRIN LCSW

Social Worker

(Clinical)

492 E 13TH AVE
SUITE 106
EUGENE, OR
ZIP 97401

(541) 484-4132

GARY MCNABB LCSW

Social Worker

(Clinical)

492 E 13TH AVE
SUITE 102
EUGENE, OR
ZIP 97401

(541) 343-2525

LEIGH SAINT-LOUIS MD LLC

Clinic/Center

(Primary Care)

492 E 13TH AVE
EUGENE, OR
ZIP 97401

(541) 285-1668

JANICE ARTZER HORNSBY L.C.S.W.

Social Worker

(Clinical)

492 E 13TH AVE
SUITE 106
EUGENE, OR
ZIP 97401

(541) 342-2737

SALLY SMITH

Counselor

(Addiction (Substance Use Disorder))

492 E 13TH AVE
SUITE 205
EUGENE, OR
ZIP 97401

(541) 968-6321

LAURA FISCHRUP OTR/L

Occupational Therapist

492 E 13TH AVE
SUITE 101
EUGENE, OR
ZIP 97401

(541) 686-3524

DR. KARYN LYNN AHO PH.D.

Psychologist

(Clinical)

492 E 13TH AVE
SUITE 102
EUGENE, OR
ZIP 97401

(541) 342-5558

OCTARINE THERAPEUTIC MENTAL HEALTH SERVICES

Community/Behavioral Health

492 E 13TH AVE
209
EUGENE, OR
ZIP 97401

(458) 205-5725

ROBIN L GRACE MSW

Social Worker

(Clinical)

492 E 13TH AVE
STE 203
EUGENE, OR
ZIP 97401

(541) 914-4914

MRS. ERICA L HERNANDEZ LCSW

Social Worker

(Clinical)

492 E 13TH AVE
STE 106
EUGENE, OR
ZIP 97401

(541) 543-8568

DR. ADAM DRAPKIN D.C.

Chiropractor

492 E 13TH AVE
SUITE 200
EUGENE, OR
ZIP 97401

(541) 342-4520

JENNIFER JANE WELLS PH.D., MA, MA, BA

Counselor

(Professional)

492 E 13TH AVE
EUGENE, OR
ZIP 97401

(541) 520-6440

ANJALI DHAR, PSYD, LLC

Clinic/Center

(Adult Mental Health)

492 E 13TH AVE
EUGENE, OR
ZIP 97401

(541) 229-2625

ANJALI DHAR PSYD

Psychologist

(Clinical)

492 E 13TH AVE
EUGENE, OR
ZIP 97401

(541) 229-2625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154983765, enumerated as an "organization" on July 03, 2019.

The provider is located at 492 E 13TH AVE EUGENE, OR 97401 and the phone number is (541) 520-6440.

Specialist with taxonomy code 174400000X.