OBSIDIAN HEALTH AND WELLNESS LLC
NPI 1417593575
Clinic/Center - Adult Mental Health in Litchfield Park, AZ
NPI Status: Active since November 25, 2019
Contact Information
13321 W INDIAN SCHOOL RD STE A107
LITCHFIELD PARK, AZ
ZIP 85340
Phone: (623) 293-2232
Fax: (623) 321-9524
- Organization
- Clinic/Center
- Adult Mental Health
About OBSIDIAN HEALTH AND WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Obsidian Health And Wellness Llc, a provider established in Litchfield Park, Arizona operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1417593575 assigned on November 2019. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Deborah Grace (Consultant)
- NPI
- 1417593575
- Provider Name
- OBSIDIAN HEALTH AND WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 13321 W INDIAN SCHOOL RD STE A107 LITCHFIELD PARK, AZ 85340
- Location Phone
- (623) 293-2232
- Location Fax
- (623) 321-9524
- Mailing Address
- 13321 W INDIAN SCHOOL RD STE A107 LITCHFIELD PARK, AZ 85340
- Mailing Phone
- (623) 293-2232
- Mailing Fax
- (623) 321-9524
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-25-2019
- Last Update Date
- 11-25-2019
- 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
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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 |
|---|---|---|---|
| 435346 | MEDICAID (05) | AZ |
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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 1417593575, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417593575, enumerated as an "organization" on November 25, 2019.
The provider is located at 13321 W INDIAN SCHOOL RD STE A107 LITCHFIELD PARK, AZ 85340 and the phone number is (623) 293-2232.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
