MARCUS CLINIC LLC
NPI 1295506590
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ

NPI Status: Active since January 15, 2024

Contact Information

1940 E THUNDERBIRD RD STE 103A
PHOENIX, AZ
ZIP 85022
Phone: (602) 888-2677

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • CLIA Number: 03D2299520
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 02-21-2026

About MARCUS CLINIC LLC

This page provides the complete NPI Profile along with additional information for Marcus Clinic Llc, a provider established in Phoenix, Arizona 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 1295506590 assigned on January 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Lovejoy Tulusan Arriesgado Fnp-c, Pmhnp-bc (Nurse Practitioner)

NPI
1295506590
Provider Name
MARCUS CLINIC LLC
Entity Type
Organization
Location Address
1940 E THUNDERBIRD RD STE 103A PHOENIX, AZ 85022
Location Phone
(602) 888-2677
Mailing Address
1940 E THUNDERBIRD RD STE 103A PHOENIX, AZ 85022
Mailing Phone
(602) 888-2677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2024
Last Update Date
01-15-2024
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
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)
1261QI0500XAmbulatory Health Care Facilities

Clinic/Center
Infusion Therapy

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
4261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
5261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 

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

LOVEJOY TULUSAN ARRIESGADO FNP-C, PMHNP-BC

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(602) 888-2677

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
03D2299520
Facility Type
Practitioner Other
Certificate Effective Date
February 22, 2024
Certificate Expiration Date
February 21, 2026
Laboratory Director
ARRIESGADO LOVEJOY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marcus Clinic 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.

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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 1295506590, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 9 → 18 → 9 5 → 10 → 1 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 1 + 0 + 0 + 1 + 2 + 5 + 1 + 8 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1295506590.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295506590, enumerated as an "organization" on January 15, 2024.

The provider is located at 1940 E THUNDERBIRD RD STE 103A PHOENIX, AZ 85022 and the phone number is (602) 888-2677.

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