KIMBROUGH AMBULATORY CARE CENTER
NPI 1265596951
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Meade, MD

NPI Status: Active since December 20, 2006

Contact Information

2480 LLEWELLYN AVE
FORT MEADE, MD
ZIP 20755
Phone: (301) 677-8586

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About KIMBROUGH AMBULATORY CARE CENTER

This page provides the complete NPI Profile along with additional information for Kimbrough Ambulatory Care Center, a provider established in Fort Meade, Maryland 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 1265596951 assigned on December 2006. The practitioner's primary taxonomy code is 261QM0801X with license number LC302917 (DC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Nahida Hadeesh Licsw (Clinical Social Worker)

NPI
1265596951
Provider Name
KIMBROUGH AMBULATORY CARE CENTER
Entity Type
Organization
Location Address
2480 LLEWELLYN AVE FORT MEADE, MD 20755
Location Phone
(301) 677-8586
Mailing Address
2480 LLEWELLYN AVE FORT MEADE, MD 20755
Mailing Phone
(301) 677-8586
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2006
Last Update Date
08-22-2020
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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
License No.
LC302917
License State
DC

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

MS. NAHIDA HADEESH LICSW

Authorized Official Title
CLINICAL SOCIAL WORKER
Authorized Official Phone
(301) 677-8586

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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 1265596951, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 6 → 12 → 3 5 → 10 → 1 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 0 + 9 + 1 + 2 + 9 + 1 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1265596951.

Other Providers at the Same Location


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

Family Medicine
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Nurse Practitioner (Women's Health)
2480 LLEWELLYN AVE, RED TEAM
FT MEADE, MD 20755
Pediatrics
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Licensed Practical Nurse
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Specialist
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Internal Medicine (Cardiovascular Disease)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Nurse Anesthetist, Certified Registered
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Psychologist (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE MEADE, MD 20755
Pharmacist
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Physician Assistant (Medical)
2480 LLEWELLYN AVE, ATTN: MCXR-CR . KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Pediatrics
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Nurse Practitioner (Family)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Physician Assistant (Medical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Family Medicine
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Physical Therapist
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Nurse Practitioner (Adult Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FT MEADE, MD 20755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265596951, enumerated as an "organization" on December 20, 2006.

The provider is located at 2480 LLEWELLYN AVE FORT MEADE, MD 20755 and the phone number is (301) 677-8586.

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