MERAKEY PARKSIDE RECOVERY
NPI 1194468413
Community/Behavioral Health in Philadelphia, PA

NPI Status: Active since April 14, 2022

Contact Information

1745 N 4TH ST
PHILADELPHIA, PA
ZIP 19122
Phone: (215) 836-3131
Fax: (215) 273-5975

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 39D2285786
  • CLIA Cert. Type: Other - OUTPATIENT CLNIC D&A
  • CLIA Exp. Date: 07-17-2027

About MERAKEY PARKSIDE RECOVERY

This page provides the complete NPI Profile along with additional information for Merakey Parkside Recovery, a provider established in Philadelphia, Pennsylvania operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1194468413 assigned on April 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Norman E Tilson Jr. (Corp Director Of Business Operation)

NPI
1194468413
Provider Name
MERAKEY PARKSIDE RECOVERY
Entity Type
Organization
Location Address
1745 N 4TH ST PHILADELPHIA, PA 19122
Location Phone
(215) 836-3131
Location Fax
(215) 273-5975
Mailing Address
620 GERMANTOWN PIKE LAFAYETTE HILL, PA 19444
Mailing Phone
(215) 836-3131
Mailing Fax
(215) 273-5975
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2022
Last Update Date
01-25-2024
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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/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
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.

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

MR. NORMAN E TILSON JR.

Authorized Official Title
CORP DIRECTOR OF BUSINESS OPERATION
Authorized Official Phone
(215) 836-3131

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
39D2285786
Facility Type
Other - OUTPATIENT CLNIC D&A
Certificate Effective Date
July 18, 2025
Certificate Expiration Date
July 17, 2027
Laboratory Director
DR. BERNARD A. HARRIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Merakey Parkside Recovery 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 1194468413, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
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 4 → 8 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 + 8 + 4 + 8 + 6 + 1 + 6 + 4 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1194468413.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Internal Medicine (Addiction Medicine)
1745 N 4TH ST
PHILADELPHIA, PA 19122
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Student in an Organized Health Care Education/Training Program
1745 N 4TH ST
PHILADELPHIA, PA 19122
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Licensed Practical Nurse
1745 N 4TH ST
PHILADELPHIA, PA 19122
Behavior Analyst
1745 N 4TH ST
PHILADELPHIA, PA 19122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194468413, enumerated as an "organization" on April 14, 2022.

The provider is located at 1745 N 4TH ST PHILADELPHIA, PA 19122 and the phone number is (215) 836-3131.

Community/Behavioral Health with taxonomy code 251S00000X.