MYPOTENTIAL CLINIC - ROCKVILLE LLC
NPI 1497295406
Clinic/Center in Rockville, MD

NPI Status: Active since February 24, 2017

Contact Information

9701 VEIRS DR
ROCKVILLE, MD
ZIP 20850
Phone: (301) 424-9560

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  • Organization
  • Clinic/Center
  • CLIA Number: 21D2130619
  • CLIA Cert. Type: Other - RETIREMENT COMMUNITY
  • CLIA Exp. Date: 05-14-2027

About MYPOTENTIAL CLINIC - ROCKVILLE LLC

This page provides the complete NPI Profile along with additional information for Mypotential Clinic - Rockville Llc, a provider established in Rockville, Maryland operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1497295406 assigned on February 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Richard M Mazza (Chief Financial Officer)

NPI
1497295406
Provider Name
MYPOTENTIAL CLINIC - ROCKVILLE LLC
Entity Type
Organization
Location Address
9701 VEIRS DR ROCKVILLE, MD 20850
Location Phone
(301) 424-9560
Mailing Address
2301 RESEARCH BLVD SUITE 310 ROCKVILLE, MD 20850
Mailing Phone
(301) 354-2710
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-24-2017
Last Update Date
07-11-2018
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

RICHARD M MAZZA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(301) 354-2710

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
21D2130619
Facility Type
Other - RETIREMENT COMMUNITY
Certificate Effective Date
May 15, 2025
Certificate Expiration Date
May 14, 2027
Laboratory Director
DR. NADER TAVAKOLI-JALLI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mypotential Clinic - Rockville Llc 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 1497295406, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 9 → 18 → 9 2 → 4 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 4 + 9 + 1 + 0 + 4 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1497295406.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Skilled Nursing Facility
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapist (Physical Rehabilitation)
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Physical Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapist
9701 VEIRS DR
ROCKVILLE, MD 20850
Physical Therapist
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Speech-Language Pathologist
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Physical Therapist
9701 VEIRS DR
ROCKVILLE, MD 20850
Speech-Language Pathologist
9701 VEIRS DR
ROCKVILLE, MD 20850
Physical Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Physical Therapist
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapist
9701 VEIRS DR
ROCKVILLE, MD 20850
Occupational Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Physical Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Physical Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497295406, enumerated as an "organization" on February 24, 2017.

The provider is located at 9701 VEIRS DR ROCKVILLE, MD 20850 and the phone number is (301) 424-9560.

Clinic/Center with taxonomy code 261Q00000X.