CENTER FOR WELLNESS & CHANGE, LLC
NPI 1275885469
Psychiatry & Neurology - Psychiatry in Charlottesville, VA

NPI Status: Active since October 11, 2012

Contact Information

1007 E HIGH ST
CHARLOTTESVILLE, VA
ZIP 22902
Phone: (434) 202-8612
Fax: (434) 321-5181

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Psychiatry & Neurology
Psychiatry
CLIA Number: 49D2049749
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 06-23-2026

About CENTER FOR WELLNESS & CHANGE, LLC

This page provides the complete NPI Profile along with additional information for Center For Wellness & Change, Llc, a provider established in Charlottesville, Virginia operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1275885469 assigned on October 2012. The practitioner's primary taxonomy code is 2084P0800X with license number 0101244180 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Center For Wellness & Change, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Erik William Gunderson M.d. (President)

NPI: 1275885469
Provider Name: CENTER FOR WELLNESS & CHANGE, LLC
Entity Type: Organization
Location Address: 1007 E HIGH ST CHARLOTTESVILLE, VA 22902
Location Phone: (434) 202-8612
Location Fax: (434) 321-5181
Mailing Address: 1007 E HIGH ST CHARLOTTESVILLE, VA 22902
Mailing Phone: (434) 202-8612
Mailing Fax: (434) 321-5181
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-11-2012
Last Update Date: 10-11-2012
Code Navigator

A psychiatrist like Center For Wellness & Change, Llc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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: Psychiatry & Neurology Psychiatry
Taxonomy Code: 2084P0800X
Type: Allopathic & Osteopathic Physicians
License No.: 0101244180
License State: VA
Taxonomy Description: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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.

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: DR. ERIK WILLIAM GUNDERSON M.D.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (434) 202-8612

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: 49D2049749
Facility Type: Physician Office
Certificate Effective Date: June 24, 2024
Certificate Expiration Date: June 23, 2026
Laboratory Director: ERIK W. GUNDERSON
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Center For Wellness & Change, 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	7	5	8	8	5	4	6	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	14	5	16	8	10	4	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 8 + 1 + 0 + 4 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1275885469 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 5 providers are registered at the same or nearby location.

MS. BERTIE D HEINER LPC

Counselor

(Mental Health)