EATING DISORDER TREATMENT OF NEW YORK, LLC
NPI 1174928014
Community Based Residential Treatment Facility, Mental Illness in Irvington, NY

NPI Status: Active since November 04, 2014

Contact Information

100 S BROADWAY
IRVINGTON, NY
ZIP 10533
Phone: (914) 479-5860

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 33D2157953
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-26-2027

About EATING DISORDER TREATMENT OF NEW YORK, LLC

This page provides the complete NPI Profile along with additional information for Eating Disorder Treatment Of New York, Llc, a provider established in Irvington, New York operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1174928014 assigned on November 2014. The practitioner's primary taxonomy code is 320800000X with license number 8161002 (NY). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jason Schultz (Chief Financial Officer)

NPI
1174928014
Provider Legal Name
EATING DISORDER TREATMENT OF NEW YORK, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
100 S BROADWAY IRVINGTON, NY 10533
Location Phone
(914) 479-5860
Mailing Address
6100 SW 76TH ST SOUTH MIAMI, FL 33143
Mailing Phone
(305) 663-1876
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2014
Last Update Date
06-11-2025
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
8161002
License State
NY
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

JASON SCHULTZ

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(720) 440-4277

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
33D2157953
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
November 16, 2018
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MOLLY M. PERLMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eating Disorder Treatment Of New York, Llc 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 1174928014, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 8 + 2 + 1 + 6 + 0 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1174928014.

Other Providers at the Same Location


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

Counselor (Mental Health)
100 S BROADWAY
IRVINGTON, NY 10533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174928014, enumerated as an "organization" on November 04, 2014.

The provider is located at 100 S BROADWAY IRVINGTON, NY 10533 and the phone number is (914) 479-5860.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.