CRAFT BEHAVIORAL HEALTH CLINIC
NPI 1184308108
Technician in Jacksonville, FL
NPI Status: Active since June 12, 2023
Contact Information
10175 FORTUNE PKWY UNIT 1106
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 337-0768
Fax: (904) 379-5967
- Organization
- Technician
- CLIA Number: 10D2090068
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-13-2027
About CRAFT BEHAVIORAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Craft Behavioral Health Clinic, a provider established in Jacksonville, Florida operating as a Technician. The healthcare provider is registered in the NPI registry with number 1184308108 assigned on June 2023. The practitioner's primary taxonomy code is 374700000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Craft Behavioral Health Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Mohammed Farooque Md, Phd (Owner/doctor)
- NPI
- 1184308108
- Provider Name
- CRAFT BEHAVIORAL HEALTH CLINIC
- Entity Type
- Organization
- Location Address
- 10175 FORTUNE PKWY UNIT 1106 JACKSONVILLE, FL 32256
- Location Phone
- (904) 337-0768
- Location Fax
- (904) 379-5967
- Mailing Address
- 10175 FORTUNE PKWY UNIT 1106 JACKSONVILLE, FL 32256
- Mailing Phone
- (904) 337-0768
- Mailing Fax
- (904) 379-5967
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-12-2023
- Last Update Date
- 06-12-2023
- Code Navigator
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
Technician
- Taxonomy Code
- 374700000X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| EO2233 | OTHER (01) | FL | DEPARTMENT OF HEALTH ELECTROLOGIST LICENSE |
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
- 10D2090068
- Facility Type
- Physician Office
- Certificate Effective Date
- January 14, 2025
- Certificate Expiration Date
- January 13, 2027
- Laboratory Director
- MOHAMMAD FOROOQUE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Craft Behavioral Health Clinic 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 1184308108, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184308108, enumerated as an "organization" on June 12, 2023.
The provider is located at 10175 FORTUNE PKWY UNIT 1106 JACKSONVILLE, FL 32256 and the phone number is (904) 337-0768.
Technician with taxonomy code 374700000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
