COLLECTIVE TRANSFORMATION HEALTH SERVICES
NPI 1386163020
Clinic/Center - Mental Health (Including Community Mental Health Center) in Edgewater, MD

NPI Status: Active since September 13, 2017

Contact Information

1642 SHADY SIDE DR.
EDGEWATER, MD
ZIP 21037
Phone: (410) 401-3621

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

About COLLECTIVE TRANSFORMATION HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Collective Transformation Health Services, a provider established in Edgewater, Maryland 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 1386163020 assigned on September 2017. 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. Collective Transformation Health Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Sophia Acquah (Program Director)

NPI
1386163020
Provider Name
COLLECTIVE TRANSFORMATION HEALTH SERVICES
Entity Type
Organization
Location Address
1642 SHADY SIDE DR. EDGEWATER, MD 21037
Location Phone
(410) 401-3621
Mailing Address
1642 SHADY SIDE DR EDGEWATER, MD 21037
Mailing Phone
(410) 956-6000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2017
Last Update Date
07-21-2022
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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

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
2101YS0200XBehavioral Health & Social Service Providers

Counselor
School

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
4224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapy Assistant

 
5225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
6235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 
7251B00000XAgencies

Case Management

 
8251K00000XAgencies

Public Health or Welfare

 
9251S00000XAgencies

Community/Behavioral Health

 
10261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
11261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

SOPHIA ACQUAH

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(410) 956-6000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386163020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316626604
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 2 + 6 + 6 + 0 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1386163020 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386163020, enumerated as an "organization" on September 13, 2017.

The provider is located at 1642 SHADY SIDE DR. EDGEWATER, MD 21037 and the phone number is (410) 401-3621.

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