OVERTON BROOKS VAMC
NPI 1285925982
Clinic/Center - Adult Mental Health in Shreveport, LA

NPI Status: Active since April 28, 2011

Contact Information

510 E STONER AVE
SHREVEPORT, LA
ZIP 71101
Phone: (318) 221-8411

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • CLIA Number: 19D0987270
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 05-22-2026

About OVERTON BROOKS VAMC

This page provides the complete NPI Profile along with additional information for Overton Brooks Vamc, a provider established in Shreveport, Louisiana operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1285925982 assigned on April 2011. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Charles Dai-trieu Cao Registered Kt (Kinesiotherapist)

NPI
1285925982
Provider Name
OVERTON BROOKS VAMC
Entity Type
Organization
Location Address
510 E STONER AVE SHREVEPORT, LA 71101
Location Phone
(318) 221-8411
Mailing Address
510 E STONER AVE SHREVEPORT, LA 71101
Mailing Phone
(318) 221-8411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2011
Last Update Date
04-28-2011
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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

MR. CHARLES DAI-TRIEU CAO REGISTERED KT

Authorized Official Title
KINESIOTHERAPIST
Authorized Official Phone
(318) 221-8411

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
19D0987270
Facility Type
Hospital
Certificate Effective Date
June 01, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
MICHAEL CONSTANTINESCU
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Overton Brooks Vamc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1285925982, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 8 → 16 → 7 9 → 18 → 9 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 1 + 8 + 2 + 1 + 0 + 9 + 1 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1285925982.

Other Providers at the Same Location


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

Internal Medicine (Hematology & Oncology)
510 E STONER AVE
SHREVEPORT, LA 71101
Dietitian, Registered
510 E STONER AVE
SHREVEPORT, LA 71101
Dietitian, Registered
510 E STONER AVE
SHREVEPORT, LA 71101
Dietitian, Registered
510 E STONER AVE
SHREVEPORT, LA 71101
Dietitian, Registered
510 E STONER AVE
SHREVEPORT, LA 71101
Physical Therapy Assistant
510 E STONER AVE
SHREVEPORT, LA 71101
Occupational Therapist
510 E STONER AVE
SHREVEPORT, LA 71101
Kinesiotherapist
510 E STONER AVE
SHREVEPORT, LA 71101
Occupational Therapy Assistant
510 E STONER AVE
SHREVEPORT, LA 71101
Physical Therapist
510 E STONER AVE, PM&RS (117)
SHREVEPORT, LA 71101
Physical Therapy Assistant
510 E STONER AVE
SHREVEPORT, LA 71101
Physical Therapist
510 E STONER AVE, PM&RS (117)
SHREVEPORT, LA 71101
Kinesiotherapist
510 E STONER AVE
SHREVEPORT, LA 71101
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Physical Therapist
510 E STONER AVE
SHREVEPORT, LA 71101
Internal Medicine (Pulmonary Disease)
510 E STONER AVE, OVERTON BROOKS VA MEDICAL CENTER
SHREVEPORT, LA 71101
Internal Medicine (Endocrinology, Diabetes & Metabolism)
510 E STONER AVE, 111 (MEDICAL SERVICE/ ENDOCRINOLOGY)
SHREVEPORT, LA 71101
Dentist
510 E STONER AVE
SHREVEPORT, LA 71101
Internal Medicine (Hematology & Oncology)
510 E STONER AVE
SHREVEPORT, LA 71101
Occupational Therapist
510 E STONER AVE
SHREVEPORT, LA 71101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285925982, enumerated as an "organization" on April 28, 2011.

The provider is located at 510 E STONER AVE SHREVEPORT, LA 71101 and the phone number is (318) 221-8411.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.