LAKE ASPEN PROFESSIONAL GROUP PS
NPI 1477822377
Clinic/Center - Adult Mental Health in Yakima, WA
NPI Status: Active since December 21, 2011
Contact Information
1460 N 16TH AVE
SUITE G
YAKIMA, WA
ZIP 98902
Phone: (509) 575-7750
Fax: (509) 575-7796
- Organization
- Clinic/Center
- Adult Mental Health
- Accepts Insurance
- CLIA Number: 50D2267283
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 04-04-2028
About LAKE ASPEN PROFESSIONAL GROUP PS
This page provides the complete NPI Profile along with additional information for Lake Aspen Professional Group Ps, a provider established in Yakima, Washington operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1477822377 assigned on December 2011. The practitioner's primary taxonomy code is 261QM0850X with license number MD00014780 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. George Vlahakis M.d. (President)
- NPI
- 1477822377
- Provider Name
- LAKE ASPEN PROFESSIONAL GROUP PS
- Entity Type
- Organization
- Location Address
- 1460 N 16TH AVE SUITE G YAKIMA, WA 98902
- Location Phone
- (509) 575-7750
- Location Fax
- (509) 575-7796
- Mailing Address
- 1460 N 16TH AVE SUITE G YAKIMA, WA 98902
- Mailing Phone
- (509) 575-7750
- Mailing Fax
- (509) 575-7796
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2011
- Last Update Date
- 08-29-2012
- 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
- License No.
- MD00014780
- License State
- WA
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
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 |
|---|---|---|---|
| E17999 | MEDICARE UPIN (02) | WA | |
| 7237209 | MEDICAID (05) | WA | |
| 000119386 | MEDICARE PIN (08) | WA |
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
- 50D2267283
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- August 23, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- NAVEEN RAVIKUMAR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Aspen Professional Group Ps 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 1477822377, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
YAKIMA, WA 98902
YAKIMA, WA 98902
YAKIMA, WA 98902
YAKIMA, WA 98902
YAKIMA, WA 98902
YAKIMA, WA 98902
YAKIMA, WA 98902
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477822377, enumerated as an "organization" on December 21, 2011.
The provider is located at 1460 N 16TH AVE SUITE G YAKIMA, WA 98902 and the phone number is (509) 575-7750.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
