MS. KIMBERLY M GREEN CSC-AD, RAC
NPI 1164601787
Community/Behavioral Health in Riverdale, MD

NPI Status: Active since October 31, 2007

Contact Information

4404 QUEENSBURY RD STE 105
RIVERDALE, MD
ZIP 20737
Phone: (301) 864-0919

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  • Individual
  • Female
  • Community/Behavioral Health

About KIMBERLY GREEN

This page provides the complete NPI Profile along with additional information for Kimberly Green, a provider established in Riverdale, Maryland with a medical specialization in Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1164601787 assigned on October 2007. The practitioner's primary taxonomy code is 251S00000X with license number 210310714 (MD). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1164601787
Provider Name
MS. KIMBERLY M GREEN CSC-AD, RAC
Gender
Female
Entity Type
Individual
Location Address
4404 QUEENSBURY RD STE 105 RIVERDALE, MD 20737
Location Phone
(301) 864-0919
Mailing Address
4404 QUEENSBURY RD STE 105 RIVERDALE, MD 20737
Mailing Phone
(301) 864-0919
Is Sole Proprietor?
Yes
Enumeration Date
10-31-2007
Last Update Date
08-25-2021
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
210310714
License State
MD
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

ADD14102 (DC)

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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 1164601787, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 6 → 12 → 3 6 → 12 → 3 1 → 2 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 + 1 + 2 + 4 + 1 + 2 + 0 + 2 + 7 + 1 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164601787.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Counselor (Mental Health)
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Community/Behavioral Health
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Community/Behavioral Health
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Counselor (Mental Health)
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Counselor
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737
Counselor
4404 QUEENSBURY RD STE 105
RIVERDALE, MD 20737

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164601787, enumerated as an "individual" on October 31, 2007.

The provider is located at 4404 QUEENSBURY RD STE 105 RIVERDALE, MD 20737 and the phone number is (301) 864-0919.

Community/Behavioral Health with taxonomy code 251S00000X.