REEF MEDICAL CLINIC
NPI 1417489378
Psychologist - Prescribing (Medical) in Santa Teresa, NM

NPI Status: Active since March 30, 2017

Contact Information

5805 MCNUTT RD
STE D
SANTA TERESA, NM
ZIP 88008
Phone: (575) 265-1717

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  • Organization
  • Psychologist
  • Prescribing (Medical)

About REEF MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Reef Medical Clinic, a provider established in Santa Teresa, New Mexico operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1417489378 assigned on March 2017. The practitioner's primary taxonomy code is 103TP0016X. The provider is registered as an organization and their NPI record was last updated 9 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 provider's is doing business as Reef Medical Clinic. The authorized official of this NPI record is Christian Lira (Manager)

NPI
1417489378
Provider Legal Name
PRIMARY WELLNESS TEAM CORPORATION
Other Organization Name
REEF MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5805 MCNUTT RD STE D SANTA TERESA, NM 88008
Location Phone
(575) 265-1717
Mailing Address
205 W BOUTZ RD BLDG 1 LAS CRUCES, NM 88005
Mailing Phone
(575) 532-7000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2017
Last Update Date
06-30-2017
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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

Psychologist Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Group Taxonomy 193400000X 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

CHRISTIAN LIRA

Authorized Official Title
MANAGER
Authorized Official Phone
(915) 202-3232

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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 1417489378, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 1 → 2 4 → 8 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 8 + 8 + 1 + 8 + 3 + 1 + 4 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1417489378.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
5805 MCNUTT RD
SANTA TERESA, NM 88008
Nurse Practitioner (Psychiatric/Mental Health)
5805 MCNUTT RD
SANTA TERESA, NM 88008
Clinic/Center (Dental)
5805 MCNUTT RD
SANTA TERESA, NM 88008
Community Health Worker
5805 MCNUTT RD
SANTA TERESA, NM 88008

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417489378, enumerated as an "organization" on March 30, 2017.

The provider is located at 5805 MCNUTT RD STE D SANTA TERESA, NM 88008 and the phone number is (575) 265-1717.

Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).