DISTRICT 19 COMMUNITY SERVICES BOARD
NPI 1669970646
Early Intervention Provider Agency in Petersburg, VA

NPI Status: Active since January 25, 2018

Contact Information

20 W BANK ST STE 5
PETERSBURG, VA
ZIP 23803
Phone: (804) 862-6082
Fax: (804) 862-6158

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  • Organization
  • Early Intervention Provider Agency
  • CLIA Number: 49D2156753
  • CLIA Cert. Type: Other - OUTPATIENT CLINIC AT CSB
  • CLIA Exp. Date: 10-23-2026

About DISTRICT 19 COMMUNITY SERVICES BOARD

This page provides the complete NPI Profile along with additional information for District 19 Community Services Board, a provider established in Petersburg, Virginia operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1669970646 assigned on January 2018. The practitioner's primary taxonomy code is 252Y00000X with license number 184 (VA). 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 Mrs. Lisa A Newby (Executive Assistant)

NPI
1669970646
Provider Name
DISTRICT 19 COMMUNITY SERVICES BOARD
Entity Type
Organization
Location Address
20 W BANK ST STE 5 PETERSBURG, VA 23803
Location Phone
(804) 862-6082
Location Fax
(804) 862-6158
Mailing Address
20 W BANK ST STE 7 PETERSBURG, VA 23803
Mailing Phone
(804) 862-6082
Mailing Fax
(804) 862-6158
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2018
Last Update Date
01-25-2018
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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

Early Intervention Provider Agency

Taxonomy Code
252Y00000X
Type
Agencies
License No.
184
License State
VA
Taxonomy Description
Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

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

MRS. LISA A NEWBY

Authorized Official Title
EXECUTIVE ASSISTANT
Authorized Official Phone
(804) 862-6082

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
49D2156753
Facility Type
Other - OUTPATIENT CLINIC AT CSB
Certificate Effective Date
October 24, 2024
Certificate Expiration Date
October 23, 2026
Laboratory Director
LETITIA WALLACE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to District 19 Community Services Board 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.

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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 1669970646, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 6 → 12 → 3 9 → 18 → 9 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 8 + 7 + 0 + 6 + 8 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1669970646.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
20 W BANK ST STE 5
PETERSBURG, VA 23803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669970646, enumerated as an "organization" on January 25, 2018.

The provider is located at 20 W BANK ST STE 5 PETERSBURG, VA 23803 and the phone number is (804) 862-6082.

Early Intervention Provider Agency with taxonomy code 252Y00000X.