COLONIAL PSYCHIATRIC ASSOCIATES, LLC
NPI 1235636069
Clinic/Center - Mental Health (Including Community Mental Health Center) in Newport News, VA

NPI Status: Active since April 09, 2018

Contact Information

708 MOBJACK PL
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 873-1958
Fax: (757) 873-2143

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 49D1079126
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 01-23-2026

About COLONIAL PSYCHIATRIC ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Colonial Psychiatric Associates, Llc, a provider established in Newport News, Virginia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1235636069 assigned on April 2018. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Wendy Burch (Office Manager)

NPI
1235636069
Provider Name
COLONIAL PSYCHIATRIC ASSOCIATES, LLC
Entity Type
Organization
Location Address
708 MOBJACK PL NEWPORT NEWS, VA 23606
Location Phone
(757) 873-1958
Location Fax
(757) 873-2143
Mailing Address
708 MOBJACK PL NEWPORT NEWS, VA 23606
Mailing Phone
(757) 873-1958
Mailing Fax
(757) 873-2143
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2018
Last Update Date
04-09-2018
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

WENDY BURCH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(757) 873-1958

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
49D1079126
Facility Type
Mobile Laboratory
Certificate Effective Date
January 24, 2024
Certificate Expiration Date
January 23, 2026
Laboratory Director
RAVI CHHATRALA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Colonial Psychiatric Associates, Llc 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 1235636069, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 3 → 6 6 → 12 → 3 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 1 + 2 + 3 + 1 + 2 + 0 + 1 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1235636069.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Psychologist (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Clinical Neuropsychologist
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Psychologist (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Marriage & Family Therapist
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Psychiatry & Neurology (Psychiatry)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Social Worker (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Counselor (Professional)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Psychologist (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Psychologist (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Psychologist (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Counselor (Professional)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Psychologist (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Psychologist (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Social Worker (Clinical)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Counselor (Mental Health)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Counselor (Professional)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Nurse Practitioner (Psychiatric/Mental Health)
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Marriage & Family Therapist
708 MOBJACK PL
NEWPORT NEWS, VA 23606
Nurse Practitioner (Psychiatric/Mental Health)
708 MOBJACK PL
NEWPORT NEWS, VA 23606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235636069, enumerated as an "organization" on April 09, 2018.

The provider is located at 708 MOBJACK PL NEWPORT NEWS, VA 23606 and the phone number is (757) 873-1958.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).