PHOENIX MIND BODY CONNECTION LLC
NPI 1588366959
Community/Behavioral Health in Phoenix, AZ

NPI Status: Active since March 20, 2023

Contact Information

2942 N. 24TH ST SUITE 114
PHOENIX, AZ
ZIP 85016
Phone: (602) 235-0575
Fax: (602) 241-9580

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  • Organization
  • Community/Behavioral Health

About PHOENIX MIND BODY CONNECTION LLC

This page provides the complete NPI Profile along with additional information for Phoenix Mind Body Connection Llc, a provider established in Phoenix, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1588366959 assigned on March 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Shirley D Hanson Lcsw (Ceo)

NPI
1588366959
Provider Name
PHOENIX MIND BODY CONNECTION LLC
Entity Type
Organization
Location Address
2942 N. 24TH ST SUITE 114 PHOENIX, AZ 85016
Location Phone
(602) 235-0575
Location Fax
(602) 241-9580
Mailing Address
PO BOX 16998 PHOENIX, AZ 85011
Mailing Fax
(602) 241-9580
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2023
Last Update Date
03-20-2023
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

SHIRLEY D HANSON LCSW

Authorized Official Title
CEO
Authorized Official Phone
(602) 471-3124

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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.
1588366959
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251686612910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 6 + 6 + 1 + 2 + 9 + 1 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1588366959 is valid because the calculated check digit 9 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 1588366959, enumerated as an "organization" on March 20, 2023.

The provider is located at 2942 N. 24TH ST SUITE 114 PHOENIX, AZ 85016 and the phone number is (602) 235-0575.

Community/Behavioral Health with taxonomy code 251S00000X.