HIGHLANDS MINDCARE, PLLC
NPI 1376180216
Psychiatry & Neurology - Addiction Medicine in Bristol, TN

NPI Status: Active since December 10, 2019

Contact Information

28 MIDWAY ST.
SUITE 1
BRISTOL, TN
ZIP 37620
Phone: (423) 764-2165
Fax: (423) 217-0779

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  • Organization
  • Psychiatry & Neurology
  • Addiction Medicine
  • CLIA Number: 44D2000940
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-08-2027

About HIGHLANDS MINDCARE, PLLC

This page provides the complete NPI Profile along with additional information for Highlands Mindcare, Pllc, a provider established in Bristol, Tennessee operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1376180216 assigned on December 2019. The practitioner's primary taxonomy code is 2084A0401X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jennifer Jane Keith (Facility Director)

NPI
1376180216
Provider Name
HIGHLANDS MINDCARE, PLLC
Entity Type
Organization
Location Address
28 MIDWAY ST. SUITE 1 BRISTOL, TN 37620
Location Phone
(423) 764-2165
Location Fax
(423) 217-0779
Mailing Address
28 MIDWAY ST. SUITE 1 BRISTOL, TN 37620
Mailing Phone
(423) 764-2165
Mailing Fax
(423) 217-0779
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2019
Last Update Date
10-16-2023
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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

Psychiatry & Neurology Addiction Medicine

Taxonomy Code
2084A0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

JENNIFER JANE KEITH

Authorized Official Title
FACILITY DIRECTOR
Authorized Official Phone
(423) 764-2165

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
44D2000940
Facility Type
Physician Office
Certificate Effective Date
December 09, 2025
Certificate Expiration Date
December 08, 2027
Laboratory Director
STEVEN W. MORGAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Highlands Mindcare, Pllc 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 1376180216, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 7 → 14 → 5 1 → 2 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 2 + 8 + 0 + 2 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1376180216.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376180216, enumerated as an "organization" on December 10, 2019.

The provider is located at 28 MIDWAY ST. SUITE 1 BRISTOL, TN 37620 and the phone number is (423) 764-2165.

Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.