BLUE IRIS THERAPY, PLLC
NPI 1649564188
Community/Behavioral Health in Richfield, MN

NPI Status: Active since June 01, 2011

Contact Information

6437 LYNDALE AVE S
SUITE 101
RICHFIELD, MN
ZIP 55423
Phone: (612) 455-4040
Fax: (612) 455-4041

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  • Organization
  • Community/Behavioral Health

About BLUE IRIS THERAPY, PLLC

This page provides the complete NPI Profile along with additional information for Blue Iris Therapy, Pllc, a provider established in Richfield, Minnesota operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1649564188 assigned on June 2011. The practitioner's primary taxonomy code is 251S00000X with license number 943 (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's former legal business name is Blue Iris Center For Therapeutic Services, Llc. The authorized official of this NPI record is Dr. Grant D Chikazawa-nelson Phd (Owner/psychotherapist)

NPI
1649564188
Provider Legal Name
BLUE IRIS THERAPY, PLLC
Other Organization Name
BLUE IRIS CENTER FOR THERAPEUTIC SERVICES, LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
6437 LYNDALE AVE S SUITE 101 RICHFIELD, MN 55423
Location Phone
(612) 455-4040
Location Fax
(612) 455-4041
Mailing Address
6437 LYNDALE AVE S SUITE 101 RICHFIELD, MN 55423
Mailing Phone
(612) 455-4040
Mailing Fax
(612) 455-4041
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2011
Last Update Date
06-01-2011
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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
License No.
943
License State
MN
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.

Insurance Plans Accepted

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

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

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

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

DR. GRANT D CHIKAZAWA-NELSON PHD

Authorized Official Title
OWNER/PSYCHOTHERAPIST
Authorized Official Phone
(612) 655-9776

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
227349918OTHER (01)MNMEDICA-UBH
550045 02OTHER (01)MNBHP
143645OTHER (01)MNU-CARE
69B22CHOTHER (01)MNBC/BS
540521OTHER (01)MNVALUE OPTIONS
529100300MEDICAID (05)MN 

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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 1649564188, 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 4 → 8 5 → 10 → 1 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 1 + 0 + 6 + 8 + 1 + 1 + 6 + 24 = 72

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.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1649564188.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649564188, enumerated as an "organization" on June 01, 2011.

The provider is located at 6437 LYNDALE AVE S SUITE 101 RICHFIELD, MN 55423 and the phone number is (612) 455-4040.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.