ENGAGING LIFE CENTER
NPI 1679112619
Clinic/Center - Multi-Specialty in Youngtown, AZ

NPI Status: Active since December 21, 2019

Contact Information

12600 N 113TH AVE STE B9
YOUNGTOWN, AZ
ZIP 85363
Phone: (602) 845-0767
Fax: (602) 715-0647

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About ENGAGING LIFE CENTER

This page provides the complete NPI Profile along with additional information for Engaging Life Center, a provider established in Youngtown, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1679112619 assigned on December 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Engaging Life Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Pamela Robinson Dnp, Psyd (Executive Medical Director/coo)

NPI
1679112619
Provider Name
ENGAGING LIFE CENTER
Entity Type
Organization
Location Address
12600 N 113TH AVE STE B9 YOUNGTOWN, AZ 85363
Location Phone
(602) 845-0767
Location Fax
(602) 715-0647
Mailing Address
12600 N 113TH AVE STE B9 YOUNGTOWN, AZ 85363
Mailing Phone
(602) 845-0767
Mailing Fax
(602) 715-0647
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2019
Last Update Date
06-19-2020
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 
2103TP0016XBehavioral Health & Social Service Providers

Psychologist
Prescribing (Medical)

 
3261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

 
4261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
5261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
6261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
7291U00000XLaboratories

Clinical Medical Laboratory

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

DR. PAMELA ROBINSON DNP, PSYD

Authorized Official Title
EXECUTIVE MEDICAL DIRECTOR/COO
Authorized Official Phone
(602) 845-0767

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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 1679112619, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
9
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 7 → 14 → 5 1 → 2 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 2 + 1 + 4 + 6 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1679112619.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Professional)
12600 N 113TH AVE STE B9
YOUNGTOWN, AZ 85363
Counselor (Professional)
12600 N 113TH AVE STE B9
YOUNGTOWN, AZ 85363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679112619, enumerated as an "organization" on December 21, 2019.

The provider is located at 12600 N 113TH AVE STE B9 YOUNGTOWN, AZ 85363 and the phone number is (602) 845-0767.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.