MIND AND BODY MEDICAL CLINIC
NPI 1497223846
Psychiatry & Neurology - Neurology in Edmond, OK

NPI Status: Active since November 04, 2018

Contact Information

2216 NW 164TH ST STE A
EDMOND, OK
ZIP 73013
Phone: (405) 285-4755
Fax: (405) 215-3760

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About MIND AND BODY MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Mind And Body Medical Clinic, a provider established in Edmond, Oklahoma operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1497223846 assigned on November 2018. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kelli Leek Aprn-cns (Co-owner)

NPI
1497223846
Provider Name
MIND AND BODY MEDICAL CLINIC
Entity Type
Organization
Location Address
2216 NW 164TH ST STE A EDMOND, OK 73013
Location Phone
(405) 285-4755
Location Fax
(405) 215-3760
Mailing Address
2216 NW 164TH ST STE A EDMOND, OK 73013
Mailing Phone
(405) 285-4755
Mailing Fax
(405) 215-3760
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2018
Last Update Date
11-04-2018
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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)
12084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

 
22084P0301XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Brain Injury Medicine

 
32084V0102XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Vascular Neurology

 
4364SC0200XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist
Critical Care Medicine

 
5364SN0800XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist
Neuroscience

 

Group Taxonomy 193400000X MULTIPLE 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

KELLI LEEK APRN-CNS

Authorized Official Title
CO-OWNER
Authorized Official Phone
(405) 285-4755

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497223846
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418742688
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 2 + 6 + 8 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1497223846 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497223846, enumerated as an "organization" on November 04, 2018.

The provider is located at 2216 NW 164TH ST STE A EDMOND, OK 73013 and the phone number is (405) 285-4755.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.