FRESH START PSYCHIATRIC CLINIC
NPI 1427666353
Clinic/Center - Multi-Specialty in Houston, TX

NPI Status: Active since July 16, 2020

Contact Information

11455 FALLBROOK DR STE 201
HOUSTON, TX
ZIP 77065
Phone: (337) 223-9487
Fax: (888) 511-5650

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About FRESH START PSYCHIATRIC CLINIC

This page provides the complete NPI Profile along with additional information for Fresh Start Psychiatric Clinic, a provider established in Houston, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1427666353 assigned on July 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Fresh Start Psychiatric Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Matthiaus Suire Cns (Owner)

NPI
1427666353
Provider Name
FRESH START PSYCHIATRIC CLINIC
Entity Type
Organization
Location Address
11455 FALLBROOK DR STE 201 HOUSTON, TX 77065
Location Phone
(337) 223-9487
Location Fax
(888) 511-5650
Mailing Address
1921 DULLES DR LAFAYETTE, LA 70506
Mailing Phone
(373) 223-9487
Mailing Fax
(888) 511-5650
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2020
Last Update Date
07-16-2021
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Location Map

Secondary Locations

  • 9843 Blaine Lake Dr
    Houston, TX 77086
    (512) 952-0295
  • 1921 Dulles Dr
    Lafayette, LA 70506
    (337) 223-9487

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 Multi-Specialty

Taxonomy Code
261QM1300X
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)
12084P0802XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Psychiatry

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

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.

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.

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.

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

MATTHIAUS SUIRE CNS

Authorized Official Title
OWNER
Authorized Official Phone
(512) 952-0295

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
600712760OTHER (01)LAMAGELLAN
1029807MEDICAID (05)LA 
11813129OTHER (01)CAQH
NJ2611OTHER (01)NJBCBS#
418846OTHER (01)LAMHN
MD.201514OTHER (01)LAMD LICENSE

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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 1427666353, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 2 → 4 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 4 + 7 + 1 + 2 + 6 + 1 + 2 + 3 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1427666353.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427666353, enumerated as an "organization" on July 16, 2020.

The provider is located at 11455 FALLBROOK DR STE 201 HOUSTON, TX 77065 and the phone number is (337) 223-9487.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Magellan Health, Medicare, Medicaid and Blue Cross. Please consult your insurance carrier or call the provider to verify.