STEPHANIE MAZZANTI
NPI 1780185280
Clinic/Center - Mental Health (Including Community Mental Health Center) in Elmwood Park, WI

NPI Status: Active since February 21, 2018

Contact Information

3131 TAYLOR AVE
ELMWOOD PARK, WI
ZIP 53405
Phone: (312) 608-0097

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About STEPHANIE MAZZANTI

This page provides the complete NPI Profile along with additional information for Stephanie Mazzanti, a provider established in Elmwood Park, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1780185280 assigned on February 2018. The practitioner's primary taxonomy code is 261QM0801X with license number 180009102 (IL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's other name is Stephanie Mazzanti. The authorized official of this NPI record is Stephanie Mazzanti Lcpc, E-ryt (Psychotherapist/owner)

NPI
1780185280
Provider Legal Name
RESTORE PSYCHOTHERAPY AND YOGA
Other Organization Name
STEPHANIE MAZZANTI
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3131 TAYLOR AVE ELMWOOD PARK, WI 53405
Location Phone
(312) 608-0097
Mailing Address
4123 MEACHEM RD MOUNT PLEASANT, WI 53403
Mailing Phone
(312) 608-0097
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2018
Last Update Date
03-17-2018
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Location Map

Secondary Locations

  • 3633 W Lake Ave Ste 404
    Glenview, IL 60026
    (312) 608-0097

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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
180009102
License State
IL

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

STEPHANIE MAZZANTI LCPC, E-RYT

Authorized Official Title
PSYCHOTHERAPIST/OWNER
Authorized Official Phone
(312) 608-0097

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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.
1780185280
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271602810216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 2 + 8 + 1 + 0 + 2 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1780185280 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 provider is registered at the same or nearby location.

RESTORE BEHAVIORAL HEALTH

Counselor

(Professional)

3131 TAYLOR AVE
ELMWOOD PARK, WI
ZIP 53405

(773) 910-6003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780185280, enumerated as an "organization" on February 21, 2018.

The provider is located at 3131 TAYLOR AVE ELMWOOD PARK, WI 53405 and the phone number is (312) 608-0097.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).