EXCELLENCE HEALTH PSYCHIATRY, LLC
NPI 1619511763
Psychiatry & Neurology - Psychiatry in Daytona Beach, FL

NPI Status: Active since November 01, 2019

Contact Information

1630 MASON AVE STE C
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 238-9064

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • CLIA Number: 10D2261254
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-14-2026

About EXCELLENCE HEALTH PSYCHIATRY, LLC

This page provides the complete NPI Profile along with additional information for Excellence Health Psychiatry, Llc, a provider established in Daytona Beach, Florida operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1619511763 assigned on November 2019. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Husam Eddin Md (Cmo)

NPI
1619511763
Provider Name
EXCELLENCE HEALTH PSYCHIATRY, LLC
Entity Type
Organization
Location Address
1630 MASON AVE STE C DAYTONA BEACH, FL 32117
Location Phone
(386) 238-9064
Mailing Address
1630 MASON AVE STE C DAYTONA BEACH, FL 32117
Mailing Phone
(386) 238-9064
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2019
Last Update Date
11-01-2019
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A psychiatrist like Excellence Health Psychiatry, Llc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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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 Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Group Taxonomy 193400000X 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

HUSAM EDDIN MD

Authorized Official Title
CMO
Authorized Official Phone
(386) 238-9064

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
10D2261254
Facility Type
Physician Office
Certificate Effective Date
April 15, 2024
Certificate Expiration Date
April 14, 2026
Laboratory Director
HUSAM EDDIN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Excellence Health Psychiatry, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1619511763, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 0 + 1 + 2 + 7 + 1 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1619511763.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Family Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Internal Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Gerontology)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Adult Health)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Adult Health)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Family Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Registered Nurse (Wound Care)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Family Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Clinic/Center
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Family Medicine
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Gerontology)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Primary Care)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Internal Medicine (Sleep Medicine)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1630 MASON AVE STE C
DAYTONA BEACH, FL 32117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619511763, enumerated as an "organization" on November 01, 2019.

The provider is located at 1630 MASON AVE STE C DAYTONA BEACH, FL 32117 and the phone number is (386) 238-9064.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.