MOUNTAINSIDE - CHAPPAQUA
NPI 1407343643
Substance Abuse Rehabilitation Facility in Chappaqua, NY

NPI Status: Active since April 13, 2018

Contact Information

480 BEDFORD RD
CHAPPAQUA, NY
ZIP 10514
Phone: (860) 362-5232

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 33D2149093
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-26-2027

About MOUNTAINSIDE - CHAPPAQUA

This page provides the complete NPI Profile along with additional information for Mountainside - Chappaqua, a provider established in Chappaqua, New York operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1407343643 assigned on April 2018. The practitioner's primary taxonomy code is 324500000X. 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 Michelle Williamson (Director Of Billing)

NPI
1407343643
Provider Name
MOUNTAINSIDE - CHAPPAQUA
Entity Type
Organization
Location Address
480 BEDFORD RD CHAPPAQUA, NY 10514
Location Phone
(860) 362-5232
Mailing Address
480 BEDFORD RD CHAPPAQUA, NY 10514
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2018
Last Update Date
03-25-2022
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

MICHELLE WILLIAMSON

Authorized Official Title
DIRECTOR OF BILLING
Authorized Official Phone
(860) 362-5232

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
33D2149093
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
May 24, 2018
Certificate Expiration Date
March 26, 2027
Laboratory Director
ALISON B. ALTSCHULLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mountainside - Chappaqua 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 1407343643, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 0 → 0 3 → 6 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 6 + 4 + 6 + 6 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1407343643.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
480 BEDFORD RD
CHAPPAQUA, NY 10514
Internal Medicine (Critical Care Medicine)
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Licensed Practical Nurse
480 BEDFORD RD
CHAPPAQUA, NY 10514
Anesthesiology
480 BEDFORD RD
CHAPPAQUA, NY 10514
Occupational Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Dietitian, Registered
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Medicine & Rehabilitation
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Occupational Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Physical Therapist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Specialist/Technologist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Speech-Language Pathologist
480 BEDFORD RD
CHAPPAQUA, NY 10514
Obstetrics & Gynecology (Maternal & Fetal Medicine)
480 BEDFORD RD
CHAPPAQUA, NY 10514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407343643, enumerated as an "organization" on April 13, 2018.

The provider is located at 480 BEDFORD RD CHAPPAQUA, NY 10514 and the phone number is (860) 362-5232.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.