PARAMOUNT WELLNESS RETREAT
NPI 1255052171
Rehabilitation, Substance Use Disorder Unit in Haddam, CT

NPI Status: Active since September 08, 2022

Contact Information

7 ISLAND DOCK RD
HADDAM, CT
ZIP 06438
Phone: (321) 917-0905

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  • Organization
  • Rehabilitation, Substance Use Disorder U...
  • CLIA Number: 07D2275920
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 01-30-2027

About PARAMOUNT WELLNESS RETREAT

This page provides the complete NPI Profile along with additional information for Paramount Wellness Retreat, a provider established in Haddam, Connecticut operating as a Rehabilitation, Substance Use Disorder Unit. The healthcare provider is registered in the NPI registry with number 1255052171 assigned on September 2022. The practitioner's primary taxonomy code is 276400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Paramount Wellness Retreat. The authorized official of this NPI record is Kyle Bartler (Ceo)

NPI
1255052171
Provider Legal Name
PARAMOUNT OPERATIONS BBD LLC
Other Organization Name
PARAMOUNT WELLNESS RETREAT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7 ISLAND DOCK RD HADDAM, CT 06438
Location Phone
(321) 917-0905
Mailing Address
27 IROQUIS DR MADISON TOWNSHIP, PA 18444
Mailing Phone
(856) 418-7877
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2022
Last Update Date
06-05-2024
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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

Rehabilitation, Substance Use Disorder Unit

Taxonomy Code
276400000X
Type
Hospital Units
Taxonomy Description
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

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)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

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

KYLE BARTLER

Authorized Official Title
CEO
Authorized Official Phone
(321) 917-0905

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
07D2275920
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
January 31, 2025
Certificate Expiration Date
January 30, 2027
Laboratory Director
LEIGH ROWAN-KELLY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Paramount Wellness Retreat 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 1255052171, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 5 → 10 → 1 0 → 0 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 0 + 5 + 4 + 1 + 1 + 4 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1255052171.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine (Addiction Medicine)
7 ISLAND DOCK RD
HADDAM, CT 06438

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255052171, enumerated as an "organization" on September 08, 2022.

The provider is located at 7 ISLAND DOCK RD HADDAM, CT 06438 and the phone number is (321) 917-0905.

Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.