SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC
NPI 1407026651
Counselor in Ganado, AZ
NPI Status: Active since March 04, 2008
Contact Information
US 191 & AZ 264
SALSBURY HALL SAGE MEMORIAL HOSPITAL CAMPUS
GANADO, AZ
ZIP 86505
Phone: (928) 755-4500
Fax: (928) 755-4934
- Organization
- Counselor
- CLIA Number: 03D0057991
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-30-2025
About SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Sage Memorial Hospital Behavioral Health Clinic, a provider established in Ganado, Arizona operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1407026651 assigned on March 2008. The practitioner's primary taxonomy code is 101Y00000X with license number 13084 (AZ). The provider is registered as an organization and their NPI record was last updated 2 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 Mrs. Andrea Curley (Medical Staff Credentialist)
- NPI
- 1407026651
- Provider Name
- SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC
- Entity Type
- Organization
- Location Address
- US 191 & AZ 264 SALSBURY HALL SAGE MEMORIAL HOSPITAL CAMPUS GANADO, AZ 86505
- Location Phone
- (928) 755-4500
- Location Fax
- (928) 755-4934
- Mailing Address
- PO BOX 457 GANADO, AZ 86505
- Mailing Phone
- (928) 755-4500
- Mailing Fax
- (928) 755-4934
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2008
- Last Update Date
- 11-14-2024
- Code Navigator
Location Map
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
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 13084
- License State
- AZ
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 5168T (AZ) |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 11643 (AZ) |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 942757 | MEDICAID (05) | AZ |
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
- 03D0057991
- Facility Type
- Hospital
- Certificate Effective Date
- December 01, 2023
- Certificate Expiration Date
- November 30, 2025
- Laboratory Director
- ALEX CUDKOWICZ
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sage Memorial Hospital Behavioral Health Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1407026651, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
GANADO, AZ 86505
GANADO, AZ 86505
GANADO, AZ 86505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407026651, enumerated as an "organization" on March 04, 2008.
The provider is located at US 191 & AZ 264 SALSBURY HALL SAGE MEMORIAL HOSPITAL CAMPUS GANADO, AZ 86505 and the phone number is (928) 755-4500.
Counselor with taxonomy code 101Y00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
