EXTRACARE HEALTH SERVICES
NPI 1750435129
Psychologist - Addiction (Substance Use Disorder) in Matawan, NJ

NPI Status: Active since January 23, 2007

Contact Information

141 STATE ROUTE 34
MATAWAN, NJ
ZIP 07747
Phone: (732) 721-3835
Fax: (239) 455-9027

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  • Organization
  • Psychologist
  • Addiction (Substance Use Disorder)

About EXTRACARE HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Extracare Health Services, a provider established in Matawan, New Jersey operating as a Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1750435129 assigned on January 2007. The practitioner's primary taxonomy code is 103TA0400X with license number PSYD-2136 (NJ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is John J Kelly Csw, Cdc (Executive Director)

NPI
1750435129
Provider Name
EXTRACARE HEALTH SERVICES
Entity Type
Organization
Location Address
141 STATE ROUTE 34 MATAWAN, NJ 07747
Location Phone
(732) 721-3835
Location Fax
(239) 455-9027
Mailing Address
141 STATE ROUTE 34 P O BOX 506 MATAWAN, NJ 07747
Mailing Phone
(732) 721-3835
Mailing Fax
(239) 455-9027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2007
Last Update Date
08-22-2020
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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

Psychologist Addiction (Substance Use Disorder)

Taxonomy Code
103TA0400X
Type
Behavioral Health & Social Service Providers
License No.
PSYD-2136
License State
NJ
Taxonomy Description
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

JOHN J KELLY CSW, CDC

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(732) 721-0060

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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 1750435129, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
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 5 → 10 → 1 4 → 8 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 8 + 3 + 1 + 0 + 1 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1750435129.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750435129, enumerated as an "organization" on January 23, 2007.

The provider is located at 141 STATE ROUTE 34 MATAWAN, NJ 07747 and the phone number is (732) 721-3835.

Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).