MONROE COUNTY CHAPTER DT FAIRPORT
NPI 1205001138
Clinic/Center - Developmental Disabilities in Fairport, NY

NPI Status: Active since April 22, 2008

Contact Information

1387 FAIRPORT RD
BUILDING 1100
FAIRPORT, NY
ZIP 14450
Phone: (585) 641-0304

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  • Organization
  • Clinic/Center
  • Developmental Disabilities
  • CLIA Number: 33D2048292
  • CLIA Cert. Type: Public Health Laboratories
  • CLIA Exp. Date: 03-26-2027

About MONROE COUNTY CHAPTER DT FAIRPORT

This page provides the complete NPI Profile along with additional information for Monroe County Chapter Dt Fairport, a provider established in Fairport, New York operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1205001138 assigned on April 2008. The practitioner's primary taxonomy code is 261QD1600X with license number 7014305 (NY). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Monroe County Chapter Dt Fairport. The authorized official of this NPI record is Ms. Barbara S Wale (Coo)

NPI
1205001138
Provider Legal Name
NYSARC INC
Other Organization Name
MONROE COUNTY CHAPTER DT FAIRPORT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1387 FAIRPORT RD BUILDING 1100 FAIRPORT, NY 14450
Location Phone
(585) 641-0304
Mailing Address
1000 ELMWOOD AVE SUITE 500 ROCHESTER, NY 14620
Mailing Phone
(585) 271-0660
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2008
Last Update Date
04-22-2008
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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
License No.
7014305
License State
NY
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.).

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.

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

MS. BARBARA S WALE

Authorized Official Title
COO
Authorized Official Phone
(585) 672-2233

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
02287938MEDICAID (05)NY 

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
33D2048292
Facility Type
Public Health Laboratories
Certificate Effective Date
October 12, 2012
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MARIELENA VELEZ DE BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Monroe County Chapter Dt Fairport 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.

Reviews for MONROE COUNTY CHAPTER DT FAIRPORT

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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 1205001138, 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 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 0 + 0 + 2 + 1 + 6 + 24 = 42

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

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1205001138.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, SUITE 580
FAIRPORT, NY 14450
Nurse Practitioner (Psychiatric/Mental Health)
1387 FAIRPORT RD, BUILDING 600 SUITE 660
FAIRPORT, NY 14450
Social Worker (Clinical)
1387 FAIRPORT RD, BUILDING 500, SUITE 540
FAIRPORT, NY 14450
Chiropractor
1387 FAIRPORT RD, SUITE 640
FAIRPORT, NY 14450
Counselor (Mental Health)
1387 FAIRPORT RD, BUILDING 700
FAIRPORT, NY 14450
Massage Therapist
1387 FAIRPORT RD, SUITE 520
FAIRPORT, NY 14450
Clinic/Center (Health Service)
1387 FAIRPORT RD, BUILDING 500 SUITE 520
FAIRPORT, NY 14450
Student in an Organized Health Care Education/Training Program
1387 FAIRPORT RD, SUITE 640
FAIRPORT, NY 14450
Physical Therapist
1387 FAIRPORT RD, BUILDING 1100
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Social Worker (Clinical)
1387 FAIRPORT RD, SUITE 1000D
FAIRPORT, NY 14450
Social Worker
1387 FAIRPORT RD, SUITE 540
FAIRPORT, NY 14450
Occupational Therapist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, STE 650
FAIRPORT, NY 14450
Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, 660 FAIRPORT OFFICE PARK
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205001138, enumerated as an "organization" on April 22, 2008.

The provider is located at 1387 FAIRPORT RD BUILDING 1100 FAIRPORT, NY 14450 and the phone number is (585) 641-0304.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.