POSITIVE IMPACT RESIDENTIAL SERVICES
NPI 1487079562
Clinic/Center - Mental Health (Including Community Mental Health Center) in Decatur, GA

NPI Status: Active since February 25, 2014

Contact Information

2189 W PONCE DE LEON AVE
DECATUR, GA
ZIP 30030
Phone: (678) 887-3263
Fax: (404) 687-9871

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About POSITIVE IMPACT RESIDENTIAL SERVICES

This page provides the complete NPI Profile along with additional information for Positive Impact Residential Services, a provider established in Decatur, Georgia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1487079562 assigned on February 2014. The practitioner's primary taxonomy code is 261QM0801X with license number CSW002378 (GA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Wax Flowers (Lcsw/owner)

NPI
1487079562
Provider Name
POSITIVE IMPACT RESIDENTIAL SERVICES
Entity Type
Organization
Location Address
2189 W PONCE DE LEON AVE DECATUR, GA 30030
Location Phone
(678) 887-3263
Location Fax
(404) 687-9871
Mailing Address
2189 W PONCE DE LEON AVE DECATUR, GA 30030
Mailing Phone
(678) 887-3263
Mailing Fax
(404) 687-9871
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2014
Last Update Date
02-25-2014
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
CSW002378
License State
GA

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

WAX FLOWERS

Authorized Official Title
LCSW/OWNER
Authorized Official Phone
(866) 730-7604

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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 1487079562, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
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 8 → 16 → 7 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 0 + 7 + 1 + 8 + 5 + 1 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1487079562.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
2189 W PONCE DE LEON AVE
DECATUR, GA 30030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487079562, enumerated as an "organization" on February 25, 2014.

The provider is located at 2189 W PONCE DE LEON AVE DECATUR, GA 30030 and the phone number is (678) 887-3263.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).