MANDALA RESTORATIVE THERAPY
NPI 1336624634
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

NPI Status: Active since October 02, 2018

Contact Information

5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL
ZIP 60640
Phone: (602) 821-7850

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

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

About MANDALA RESTORATIVE THERAPY

This page provides the complete NPI Profile along with additional information for Mandala Restorative Therapy, 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 1336624634 assigned on October 2018. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Tessa Marie Mandala Lcpc (Owner/licensed Clinician)

NPI: 1336624634
Provider Name: MANDALA RESTORATIVE THERAPY
Entity Type: Organization
Location Address: 5215 N RAVENSWOOD AVE STE 214 CHICAGO, IL 60640
Location Phone: (602) 821-7850
Mailing Address: 5215 N RAVENSWOOD AVE STE 214 CHICAGO, IL 60640
Mailing Phone: (602) 821-7850
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-02-2018
Last Update Date: 10-02-2018
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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: TESSA MARIE MANDALA LCPC
Authorized Official Title: OWNER/LICENSED CLINICIAN
Authorized Official Phone: (602) 821-7850

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 1336624634, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

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 3 → 6 6 → 12 → 3 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 1 + 2 + 2 + 8 + 6 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1336624634.