CLEARWATER HEALTHCARE SERVICES PLLC
NPI 1780468579
Clinic/Center - Mental Health (Including Community Mental Health Center) in Scottsdale, AZ

NPI Status: Active since August 22, 2023

Contact Information

7975 N HAYDEN RD STE D241
SCOTTSDALE, AZ
ZIP 85258
Phone: (602) 880-0866
Fax: (410) 530-5015

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

About CLEARWATER HEALTHCARE SERVICES PLLC

This page provides the complete NPI Profile along with additional information for Clearwater Healthcare Services Pllc, a provider established in Scottsdale, Arizona 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 1780468579 assigned on August 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Clearwater Healthcare Services Pllc. The authorized official of this NPI record is Funmilayo Oluwole Crnp, Pmhnp-bc, Fnp- (President)

NPI
1780468579
Provider Legal Name
CLEARWATER HEALTHCARE LLC
Other Organization Name
CLEARWATER HEALTHCARE SERVICES PLLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7975 N HAYDEN RD STE D241 SCOTTSDALE, AZ 85258
Location Phone
(602) 880-0866
Location Fax
(410) 530-5015
Mailing Address
7975 N HAYDEN RD STE D241 SCOTTSDALE, AZ 85258
Mailing Phone
(602) 880-0866
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2023
Last Update Date
01-18-2025
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

FUNMILAYO OLUWOLE CRNP, PMHNP-BC, FNP-

Authorized Official Title
PRESIDENT
Authorized Official Phone
(602) 880-0866

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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.
1780468579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271608616514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 8 + 6 + 1 + 6 + 5 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1780468579 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

CLEARWATER HEALTHCARE LLC

Clinic/Center

(Primary Care)

7975 N HAYDEN RD STE D241
SCOTTSDALE, AZ
ZIP 85258

(602) 880-0866

DR. JENNIFER LYNNE NANSON PSYD

Counselor

(Mental Health)

7975 N HAYDEN RD STE D241
SCOTTSDALE, AZ
ZIP 85258

(520) 277-3907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780468579, enumerated as an "organization" on August 22, 2023.

The provider is located at 7975 N HAYDEN RD STE D241 SCOTTSDALE, AZ 85258 and the phone number is (602) 880-0866.

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