WILDWOOD BEHAVIORAL HEALTH, LLC
NPI 1366115552
Clinic/Center - Mental Health (Including Community Mental Health Center) in Madison, CT

NPI Status: Active since July 26, 2021

Contact Information

1250 DURHAM RD STE F
MADISON, CT
ZIP 06443
Phone: (203) 421-6372
Fax: (203) 421-2090

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

About WILDWOOD BEHAVIORAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Wildwood Behavioral Health, Llc, a provider established in Madison, Connecticut 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 1366115552 assigned on July 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Matthew Gallup (Director Of Operations)

NPI
1366115552
Provider Name
WILDWOOD BEHAVIORAL HEALTH, LLC
Entity Type
Organization
Location Address
1250 DURHAM RD STE F MADISON, CT 06443
Location Phone
(203) 421-6372
Location Fax
(203) 421-2090
Mailing Address
1250 DURHAM RD STE F MADISON, CT 06443
Mailing Phone
(203) 421-6372
Mailing Fax
(203) 421-2090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2021
Last Update Date
07-29-2022
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Location Map

Secondary Locations

  • 1250 Durham Rd Ste F
    Madison, CT 06443
    (203) 421-6372

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)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

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

MATTHEW GALLUP

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(617) 905-1269

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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 1366115552, 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 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
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 6 → 12 → 3 1 → 2 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 2 + 1 + 1 + 0 + 5 + 1 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1366115552.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366115552, enumerated as an "organization" on July 26, 2021.

The provider is located at 1250 DURHAM RD STE F MADISON, CT 06443 and the phone number is (203) 421-6372.

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