OUTREACH DIMENSIONS
NPI 1265077309
Clinic/Center - Rehabilitation, Substance Use Disorder in Frederick, MD
NPI Status: Active since November 13, 2019
Contact Information
196 THOMAS JOHNSON DR STE 201
FREDERICK, MD
ZIP 21702
Phone: (410) 800-4466
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 21D2162857
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-15-2026
About OUTREACH DIMENSIONS
This page provides the complete NPI Profile along with additional information for Outreach Dimensions, a provider established in Frederick, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1265077309 assigned on November 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Outreach Dimensions operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Outreach Dimensions. The authorized official of this NPI record is Isiah Coles (Coo)
- NPI
- 1265077309
- Provider Legal Name
- OUTREACH RECOVERY II, LLC
- Other Organization Name
- OUTREACH DIMENSIONS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 196 THOMAS JOHNSON DR STE 201 FREDERICK, MD 21702
- Location Phone
- (410) 800-4466
- Mailing Address
- 14205 PARK CENTER DR STE 201 LAUREL, MD 20707
- Mailing Phone
- (410) 800-4466
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2019
- Last Update Date
- 12-01-2023
- 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 Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- 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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 21D2162857
- Facility Type
- Physician Office
- Certificate Effective Date
- November 16, 2024
- Certificate Expiration Date
- November 15, 2026
- Laboratory Director
- DR. EHSAN ABDESHAHIAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Outreach Dimensions after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1265077309, 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.
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 51 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.
FREDERICK, MD 21702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265077309, enumerated as an "organization" on November 13, 2019.
The provider is located at 196 THOMAS JOHNSON DR STE 201 FREDERICK, MD 21702 and the phone number is (410) 800-4466.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
