JORDYN STAAR MA
NPI 1639706898
Art Therapist in Philadelphia, PA
NPI Status: Active since March 26, 2020
Contact Information
4200 MONUMENT RD
PHILADELPHIA, PA
ZIP 19131
Phone: (845) 664-4933
- Individual
- Female
- Art Therapist
- Opted-Out Medicare
About JORDYN STAAR
This page provides the complete NPI Profile along with additional information for Jordyn Staar, a provider established in Philadelphia, Pennsylvania with a medical specialization in Art Therapist. The healthcare provider is registered in the NPI registry with number 1639706898 assigned on March 2020. The practitioner's primary taxonomy code is 221700000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1639706898
- Provider Name
- JORDYN STAAR MA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4200 MONUMENT RD PHILADELPHIA, PA 19131
- Location Phone
- (845) 664-4933
- Mailing Address
- 1414 DICKINSON ST APT 3 PHILADELPHIA, PA 19146
- Mailing Phone
- (845) 664-4933
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-26-2020
- Last Update Date
- 03-26-2020
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jordyn Staar opted out of Medicare effective on 02-06-2025 until 02-06-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Art Therapist
- Taxonomy Code
- 221700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-06-2025
Opt-Out End Date: 02-06-2027
Eligible to Order and Refer? No
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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 1639706898, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19131
PHILADELPHIA, PA 19131
PHILADELPHIA, PA 19131
PHILA, PA 19131
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639706898, enumerated as an "individual" on March 26, 2020.
The provider is located at 4200 MONUMENT RD PHILADELPHIA, PA 19131 and the phone number is (845) 664-4933.
Art Therapist with taxonomy code 221700000X.
