SOUTH BEND BEHAVIORAL HEALTH LLC
NPI 1659842490
Clinic/Center - Developmental Disabilities in South Bend, IN
NPI Status: Active since December 05, 2018
Contact Information
701 N NILES AVE
SOUTH BEND, IN
ZIP 46617
Phone: (843) 609-5885
- Organization
- Clinic/Center
- Developmental Disabilities
- CLIA Number: 15D2240222
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-17-2027
About SOUTH BEND BEHAVIORAL HEALTH LLC
This page provides the complete NPI Profile along with additional information for South Bend Behavioral Health Llc, a provider established in South Bend, Indiana operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1659842490 assigned on December 2018. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Joshua Smith Mba (Ceo)
- NPI
- 1659842490
- Provider Name
- SOUTH BEND BEHAVIORAL HEALTH LLC
- Entity Type
- Organization
- Location Address
- 701 N NILES AVE SOUTH BEND, IN 46617
- Location Phone
- (843) 609-5885
- Mailing Address
- 701 N NILES AVE SOUTH BEND, IN 46617
- Mailing Phone
- (843) 609-5885
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2018
- Last Update Date
- 12-05-2018
- Code Navigator
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
Clinic/Center Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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
- 15D2240222
- Facility Type
- Physician Office
- Certificate Effective Date
- October 18, 2025
- Certificate Expiration Date
- October 17, 2027
- Laboratory Director
- LOUIS CAVADINI
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to South Bend Behavioral Health Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1659842490, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
SOUTH BEND, IN 46617
SOUTH BEND, IN 46617
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659842490, enumerated as an "organization" on December 05, 2018.
The provider is located at 701 N NILES AVE SOUTH BEND, IN 46617 and the phone number is (843) 609-5885.
Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.
