HYDE PARK BEHAVIORAL HEALTH
NPI 1568127157
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

NPI Status: Active since November 08, 2021

Contact Information

1234 HYDE PARK AVE STE 205
BOSTON, MA
ZIP 02136
Phone: (617) 413-6618
Fax: (617) 333-8229

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • CLIA Number: 22D0075458
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-29-2025

About HYDE PARK BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Hyde Park Behavioral Health, a provider established in Boston, Massachusetts operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1568127157 assigned on November 2021. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Hyde Park Behavioral Health 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 Mr. Clarence Theodore Dennis Fpmhnp-bc (Psychiatric Nurse Practitioner)

NPI
1568127157
Provider Name
HYDE PARK BEHAVIORAL HEALTH
Entity Type
Organization
Location Address
1234 HYDE PARK AVE STE 205 BOSTON, MA 02136
Location Phone
(617) 413-6618
Location Fax
(617) 333-8229
Mailing Address
1234 HYDE PARK AVE STE 205 BOSTON, MA 02136
Mailing Phone
(617) 413-6618
Mailing Fax
(617) 333-8229
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2021
Last Update Date
11-08-2021
Code Navigator

A nurse practitioner (NP) like Hyde Park Behavioral Health is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

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.

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

MR. CLARENCE THEODORE DENNIS FPMHNP-BC

Authorized Official Title
PSYCHIATRIC NURSE PRACTITIONER
Authorized Official Phone
(617) 413-6618

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
22D0075458
Facility Type
Physician Office
Certificate Effective Date
November 30, 2023
Certificate Expiration Date
November 29, 2025
Laboratory Director
JEAN BONNET
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Hyde Park Behavioral Health in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1568127157, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 6 → 12 → 3 1 → 2 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 2 + 2 + 1 + 4 + 1 + 1 + 0 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1568127157.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568127157, enumerated as an "organization" on November 08, 2021.

The provider is located at 1234 HYDE PARK AVE STE 205 BOSTON, MA 02136 and the phone number is (617) 413-6618.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.