BEYOND THE PINES
NPI 1194312603
Psychologist - Counseling in Flagstaff, AZ

NPI Status: Active since December 30, 2020

Contact Information

4085 S HOLLAND RD
FLAGSTAFF, AZ
ZIP 86005
Phone: (928) 221-8212

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  • Organization
  • Psychologist
  • Counseling
  • CLIA Number: 03D2334100
  • CLIA Cert. Type: Other - RTC
  • CLIA Exp. Date: 11-13-2027

About BEYOND THE PINES

This page provides the complete NPI Profile along with additional information for Beyond The Pines, a provider established in Flagstaff, Arizona operating as a Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1194312603 assigned on December 2020. The practitioner's primary taxonomy code is 103TC1900X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Beyond The Pines 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 Daniel Phillips L.p. (Psychologist, Managing Partner)

NPI
1194312603
Provider Name
BEYOND THE PINES
Entity Type
Organization
Location Address
4085 S HOLLAND RD FLAGSTAFF, AZ 86005
Location Phone
(928) 221-8212
Mailing Address
606 N BEAVER ST FLAGSTAFF, AZ 86001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2020
Last Update Date
02-08-2021
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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

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

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

DANIEL PHILLIPS L.P.

Authorized Official Title
PSYCHOLOGIST, MANAGING PARTNER
Authorized Official Phone
(928) 221-8212

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
03D2334100
Facility Type
Other - RTC
Certificate Effective Date
November 14, 2025
Certificate Expiration Date
November 13, 2027
Laboratory Director
SUZIE COURTNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Beyond The Pines 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 1194312603, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 9 → 18 → 9 3 → 6 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 6 + 1 + 4 + 6 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1194312603.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194312603, enumerated as an "organization" on December 30, 2020.

The provider is located at 4085 S HOLLAND RD FLAGSTAFF, AZ 86005 and the phone number is (928) 221-8212.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.