THE WILLIAM GEORGE AGENCY
NPI 1588714265
Residential Treatment Facility, Emotionally Disturbed Children in Freeville, NY

NPI Status: Active since January 12, 2007

Contact Information

380 FREEVILLE RD
FREEVILLE, NY
ZIP 13068
Phone: (607) 844-6210
Fax: (607) 844-4991

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Residential Treatment Facility, Emotiona...
CLIA Number: 33D2158000
CLIA Cert. Type: Comp. Outpatient Rehab Facility
CLIA Exp. Date: 03-26-2027

About THE WILLIAM GEORGE AGENCY

This page provides the complete NPI Profile along with additional information for The William George Agency, a provider established in Freeville, New York operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1588714265 assigned on January 2007. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is The George Junior Republic. The authorized official of this NPI record is Mr. Scott Adams (Business Manager)

NPI: 1588714265
Provider Legal Name: THE WILLIAM GEORGE AGENCY
Other Organization Name: THE GEORGE JUNIOR REPUBLIC
Other Name Type: Former Legal Business Name (4)
Entity Type: Organization
Location Address: 380 FREEVILLE RD FREEVILLE, NY 13068
Location Phone: (607) 844-6210
Location Fax: (607) 844-4991
Mailing Address: 380 FREEVILLE RD FREEVILLE, NY 13068
Mailing Phone: (607) 844-6210
Mailing Fax: (607) 844-4991
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-12-2007
Last Update Date: 07-21-2022
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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: Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy Code: 322D00000X
Type: Residential Treatment Facilities
License State: NY
Taxonomy Description: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. SCOTT ADAMS
Authorized Official Title: BUSINESS MANAGER
Authorized Official Phone: (607) 844-6210

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
00353562	MEDICAID (05)	NY
02077741	MEDICAID (05)	NY

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: 33D2158000
Facility Type: Comp. Outpatient Rehab Facility
Certificate Effective Date: November 19, 2018
Certificate Expiration Date: March 26, 2027
Laboratory Director: DR. WILLIAM C. SHEPARD
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to The William George Agency 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.

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 1588714265, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

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 7 → 14 → 5 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 1 + 4 + 1 + 8 + 2 + 1 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1588714265.