BERKELEY COMMUNITY MENTAL HEALTH CENTER
NPI 1205065828
Exclusive Provider Organization in Moncks Corner, SC

NPI Status: Active since July 02, 2009

Contact Information

403 STONEY LANDING RD
MONCKS CORNER, SC
ZIP 29461
Phone: (843) 761-8282
Fax: (843) 761-7308

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  • Organization
  • Exclusive Provider Organization
  • CLIA Number: 42D2294024
  • CLIA Cert. Type: Other - ON-SITE EMPLOYEE CLINIC
  • CLIA Exp. Date: 11-16-2025

About BERKELEY COMMUNITY MENTAL HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Berkeley Community Mental Health Center, a provider established in Moncks Corner, South Carolina operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1205065828 assigned on July 2009. The practitioner's primary taxonomy code is 302F00000X with license number 3810 (SC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Stantrenetta Akeya Harrold Aprn (Advanced Practice Registered Nurse)

NPI
1205065828
Provider Name
BERKELEY COMMUNITY MENTAL HEALTH CENTER
Entity Type
Organization
Location Address
403 STONEY LANDING RD MONCKS CORNER, SC 29461
Location Phone
(843) 761-8282
Location Fax
(843) 761-7308
Mailing Address
7863 LONG SHADOW LN NORTH CHARLESTON, SC 29406
Mailing Phone
(843) 761-8282
Mailing Fax
(843) 761-7308
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2009
Last Update Date
07-02-2009
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
3810
License State
SC
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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. STANTRENETTA AKEYA HARROLD APRN

Authorized Official Title
ADVANCED PRACTICE REGISTERED NURSE
Authorized Official Phone
(843) 761-8282

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
42D2294024
Facility Type
Other - ON-SITE EMPLOYEE CLINIC
Certificate Effective Date
November 17, 2023
Certificate Expiration Date
November 16, 2025
Laboratory Director
DR. EDWARD GALAID
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Berkeley Community Mental Health Center 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 1205065828, 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.

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
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
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 5 → 10 → 1 2 → 4

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 + 6 + 1 + 0 + 8 + 4 + 24 = 52

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.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1205065828.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Social Worker
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Nurse Practitioner
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Registered Nurse
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Psychiatry & Neurology (Psychiatry)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Registered Nurse
403 STONEY LANDING RD
MONCKS CORNER, SC 29461
Counselor (Mental Health)
403 STONEY LANDING RD
MONCKS CORNER, SC 29461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205065828, enumerated as an "organization" on July 02, 2009.

The provider is located at 403 STONEY LANDING RD MONCKS CORNER, SC 29461 and the phone number is (843) 761-8282.

Exclusive Provider Organization with taxonomy code 302F00000X.