EDEN HEALTH MENTAL WELLNESS
NPI 1205575388
Clinic/Center - Multi-Specialty in Smithtown, NY
NPI Status: Active since May 27, 2022
Contact Information
88 TERRY RD STE 101
SMITHTOWN, NY
ZIP 11787
Phone: (917) 686-2412
- Organization
- Clinic/Center
- Multi-Specialty
About EDEN HEALTH MENTAL WELLNESS
This page provides the complete NPI Profile along with additional information for Eden Health Mental Wellness, a provider established in Smithtown, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1205575388 assigned on May 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Eden Health Mental Wellness operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Eden Health Mental Wellness. The authorized official of this NPI record is Bracha Oriana Fishman Rn (Owner)
- NPI
- 1205575388
- Provider Legal Name
- BRACHA FISHMAN
- Other Organization Name
- EDEN HEALTH MENTAL WELLNESS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 88 TERRY RD STE 101 SMITHTOWN, NY 11787
- Location Phone
- (917) 686-2412
- Mailing Address
- 88 TERRY RD UNIT 12 SMITHTOWN, NY 11787
- Mailing Phone
- (917) 686-2412
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2022
- Last Update Date
- 06-15-2023
- Code Navigator
Location Map
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 2 | 163WP0807X | Nursing Service Providers | Registered Nurse | |
| 3 | 163WP0808X | Nursing Service Providers | Registered Nurse | |
| 4 | 163WP0809X | Nursing Service Providers | Registered Nurse | |
| 5 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 1205575388, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205575388, enumerated as an "organization" on May 27, 2022.
The provider is located at 88 TERRY RD STE 101 SMITHTOWN, NY 11787 and the phone number is (917) 686-2412.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
