MOUNT NITTANY HEALTH VENTURES
NPI 1689439283
Clinic/Center - Ambulatory Surgical in State College, PA

NPI Status: Active since February 14, 2024

Contact Information

164 GREENVIEW DRIVE
STATE COLLEGE, PA
ZIP 16803
Phone: (814) 231-7000
Fax: (814) 238-0790

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 39D0185027
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-16-2027

About MOUNT NITTANY HEALTH VENTURES

This page provides the complete NPI Profile along with additional information for Mount Nittany Health Ventures, a provider established in State College, Pennsylvania operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1689439283 assigned on February 2024. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Mr. Bryan J Roach (Cfo)

NPI
1689439283
Provider Legal Name
MOUNT NITTANY HEALTH VENTURES
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
164 GREENVIEW DRIVE STATE COLLEGE, PA 16803
Location Phone
(814) 231-7000
Location Fax
(814) 238-0790
Mailing Address
155 WELLNESS WAY STATE COLLEGE, PA 16803
Mailing Phone
(814) 231-7000
Mailing Fax
(814) 238-0790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2024
Last Update Date
03-11-2026
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
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)
1261QE0800XAmbulatory Health Care Facilities

Clinic/Center
Endoscopy

 

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

MR. BRYAN J ROACH

Authorized Official Title
CFO
Authorized Official Phone
(814) 234-6148

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
39D0185027
Facility Type
Physician Office
Certificate Effective Date
May 17, 2025
Certificate Expiration Date
May 16, 2027
Laboratory Director
DR. MELANIE CHERRY MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mount Nittany Health Ventures 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 1689439283, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 8 → 16 → 7 4 → 8 9 → 18 → 9 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 + 1 + 6 + 9 + 8 + 3 + 1 + 8 + 2 + 1 + 6 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1689439283.

Other Providers at the Same Location


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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
164 GREENVIEW DRIVE
STATE COLLEGE, PA 16803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689439283, enumerated as an "organization" on February 14, 2024.

The provider is located at 164 GREENVIEW DRIVE STATE COLLEGE, PA 16803 and the phone number is (814) 231-7000.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.