PHOENIX CLINIC CHICAGO
NPI 1316632672
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

NPI Status: Active since April 11, 2023

Contact Information

1136 S DELANO CT W STE B201
CHICAGO, IL
ZIP 60605
Phone: (773) 431-7397

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

About PHOENIX CLINIC CHICAGO

This page provides the complete NPI Profile along with additional information for Phoenix Clinic Chicago, a provider established in Chicago, Illinois 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 1316632672 assigned on April 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Phoenix Clinic Chicago. The authorized official of this NPI record is Taylor Ariel Pettway Lmft (Executive Director)

NPI
1316632672
Provider Legal Name
THE PHOENIX CLINIC NFP
Other Organization Name
PHOENIX CLINIC CHICAGO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1136 S DELANO CT W STE B201 CHICAGO, IL 60605
Location Phone
(773) 431-7397
Mailing Address
2436 W CULLOM AVE CHICAGO, IL 60618
Mailing Phone
(773) 431-7397
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2023
Last Update Date
04-11-2023
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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

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

TAYLOR ARIEL PETTWAY LMFT

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(773) 431-7397

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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 1316632672, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 6 → 12 → 3 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 2 + 6 + 1 + 2 + 3 + 4 + 6 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1316632672.

Other Providers at the Same Location


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

Home Health
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Clinic/Center (Mental Health (Including Community Mental Health Center))
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Non-emergency Medical Transport (VAN)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Marriage & Family Therapist
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
In Home Supportive Care
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Counselor (Mental Health)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Counselor
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Counselor
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Marriage & Family Therapist
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Counselor (Mental Health)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Counselor (Professional)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605
Social Worker (Clinical)
1136 S DELANO CT W STE B201
CHICAGO, IL 60605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316632672, enumerated as an "organization" on April 11, 2023.

The provider is located at 1136 S DELANO CT W STE B201 CHICAGO, IL 60605 and the phone number is (773) 431-7397.

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