AFFECT PROVIDER GROUP, P.C.
NPI 1710619580
Community/Behavioral Health in Archdale, NC
NPI Status: Active since June 29, 2022
Contact Information
313 TRINDALE RD # A
ARCHDALE, NC
ZIP 27263
Phone: (845) 769-8758
Fax: (888) 398-1839
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 27D2293696
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 11-13-2025
About AFFECT PROVIDER GROUP, P.C.
This page provides the complete NPI Profile along with additional information for Affect Provider Group, P.c., a provider established in Archdale, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1710619580 assigned on June 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Affect Provider Group, P.c.. The authorized official of this NPI record is Karla Renee Mullings (Director Of Compliance)
- NPI
- 1710619580
- Provider Legal Name
- AFFECT PROVIDER GROUP, P.S.C.
- Other Organization Name
- AFFECT PROVIDER GROUP, P.C.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 313 TRINDALE RD # A ARCHDALE, NC 27263
- Location Phone
- (845) 769-8758
- Location Fax
- (888) 398-1839
- Mailing Address
- 116 N 3RD ST STE 3 DANVILLE, KY 40422
- Mailing Phone
- (845) 769-8785
- Mailing Fax
- (888) 398-1839
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-29-2022
- Last Update Date
- 05-10-2024
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- 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.
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) |
|---|---|---|---|---|
| 1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Elevate by Medica Bronze Premier - EPO
- Elevate by Medica Bronze Share - EPO
- Elevate by Medica Expanded Bronze Standard - EPO
- Elevate by Medica Gold $0 Copay PCP Visits - EPO
- Elevate by Medica Gold Share - EPO
- Elevate by Medica Gold Standard - EPO
- Elevate by Medica Silver $0 Copay PCP Visits - EPO
- Elevate by Medica Silver Share - EPO
- Elevate by Medica Silver Standard - EPO
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 27D2293696
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- November 14, 2023
- Certificate Expiration Date
- November 13, 2025
- Laboratory Director
- DOUG ELWOOD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Affect Provider Group, P.c. 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.
Reviews for AFFECT PROVIDER GROUP, P.C.
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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 1710619580, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710619580, enumerated as an "organization" on June 29, 2022.
The provider is located at 313 TRINDALE RD # A ARCHDALE, NC 27263 and the phone number is (845) 769-8758.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
