LIFEWELL BEHAVIORAL WELLNESS
NPI 1760783450
Community/Behavioral Health in Phoenix, AZ

NPI Status: Active since November 11, 2010

Contact Information

202 E EARLL DR
SUITE 200
PHOENIX, AZ
ZIP 85012
Phone: (602) 808-2800
Fax: (602) 808-2799

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Community/Behavioral Health

About LIFEWELL BEHAVIORAL WELLNESS

This page provides the complete NPI Profile along with additional information for Lifewell Behavioral Wellness, a provider established in Phoenix, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1760783450 assigned on November 2010. The practitioner's primary taxonomy code is 251S00000X. 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 Thomas K Mckelvey (Chief Executive Officer)

NPI: 1760783450
Provider Name: LIFEWELL BEHAVIORAL WELLNESS
Entity Type: Organization
Location Address: 202 E EARLL DR SUITE 200 PHOENIX, AZ 85012
Location Phone: (602) 808-2800
Location Fax: (602) 808-2799
Mailing Address: 202 E EARLL DR SUITE 200 PHOENIX, AZ 85012
Mailing Phone: (602) 808-2800
Mailing Fax: (602) 808-2799
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-11-2010
Last Update Date: 03-10-2017
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: THOMAS K MCKELVEY
Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (602) 599-5410

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
570903	MEDICAID (05)	AZ

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	6	0	7	8	3	4	5	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	12	0	14	8	6	4	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 8 + 6 + 4 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1760783450 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MRS. LAURA A MASTERS MSW

Social Worker

(Clinical)

202 E EARLL DR
SUITE 420
PHOENIX, AZ
ZIP 85012

About LIFEWELL BEHAVIORAL WELLNESS

Location Map

Specialty - Primary Taxonomy

Community/Behavioral Health

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

THOMAS K MCKELVEY

Additional Identifiers

Reviews for LIFEWELL BEHAVIORAL WELLNESS

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is LIFEWELL BEHAVIORAL WELLNESS's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does LIFEWELL BEHAVIORAL WELLNESS accept?