CREATIVE LIFE SKILLS DEVELOPMENT
NPI 1184703670
Clinic/Center - Developmental Disabilities in Surprise, AZ

NPI Status: Active since November 03, 2006

Contact Information

15508 W BELL RD
SUITE 101-261
SURPRISE, AZ
ZIP 85374
Phone: (602) 441-5975
Fax: (602) 485-8859

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About CREATIVE LIFE SKILLS DEVELOPMENT

This page provides the complete NPI Profile along with additional information for Creative Life Skills Development, a provider established in Surprise, Arizona operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1184703670 assigned on November 2006. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Creative Life Skills Development 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 Mrs. Lisa Lyn Herrmann M.s Otr/l (Owner)

NPI
1184703670
Provider Name
CREATIVE LIFE SKILLS DEVELOPMENT
Entity Type
Organization
Location Address
15508 W BELL RD SUITE 101-261 SURPRISE, AZ 85374
Location Phone
(602) 441-5975
Location Fax
(602) 485-8859
Mailing Address
15508 W BELL RD SUITE 101-261 SURPRISE, AZ 85374
Mailing Phone
(602) 441-5975
Mailing Fax
(602) 485-8859
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2006
Last Update Date
09-07-2011
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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)
12251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Pediatrics

 
2225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Pediatrics

 
3235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 
4320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

2762 (AZ)

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.

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

MRS. LISA LYN HERRMANN M.S OTR/L

Authorized Official Title
OWNER
Authorized Official Phone
(602) 441-5975

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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 1184703670, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
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 8 → 16 → 7 7 → 14 → 5 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 1 + 4 + 0 + 6 + 6 + 1 + 4 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1184703670.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Chiropractor
15508 W BELL RD, SUITE 105
SURPRISE, AZ 85374
Occupational Therapist (Pediatrics)
15508 W BELL RD, STE 101-261
SURPRISE, AZ 85374
Psychologist
15508 W BELL RD
SURPRISE, AZ 85374
Dental Hygienist
15508 W BELL RD, 101-525
SURPRISE, AZ 85374
Dentist
15508 W BELL RD, 101-525
SURPRISE, AZ 85374
Specialist/Technologist (Speech-Language Assistant)
15508 W BELL RD, STE 101-261
SURPRISE, AZ 85374
Dentist (General Practice)
15508 W BELL RD, SUITE 110
SURPRISE, AZ 85374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184703670, enumerated as an "organization" on November 03, 2006.

The provider is located at 15508 W BELL RD SUITE 101-261 SURPRISE, AZ 85374 and the phone number is (602) 441-5975.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.