COMMUNITY CHILD GUIDANCE CLINIC, INC.
NPI 1780730267
Clinic/Center - Adolescent and Children Mental Health in Manchester, CT

NPI Status: Active since January 26, 2007

Contact Information

317 N MAIN ST
MANCHESTER, CT
ZIP 06042
Phone: (860) 643-2101
Fax: (860) 645-1470

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About COMMUNITY CHILD GUIDANCE CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Community Child Guidance Clinic, Inc., a provider established in Manchester, Connecticut operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1780730267 assigned on January 2007. The practitioner's primary taxonomy code is 261QM0855X with license number OPCC-14 (CT). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Clifford Johnson Lcsw (Executive Director)

NPI
1780730267
Provider Name
COMMUNITY CHILD GUIDANCE CLINIC, INC.
Entity Type
Organization
Location Address
317 N MAIN ST MANCHESTER, CT 06042
Location Phone
(860) 643-2101
Location Fax
(860) 645-1470
Mailing Address
317 N MAIN ST MANCHESTER, CT 06042
Mailing Phone
(860) 643-2101
Mailing Fax
(860) 645-1470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2007
Last Update Date
05-03-2013
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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 Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
OPCC-14
License State
CT
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

0238 (CT)

Insurance Plans Accepted

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

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

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

MR. CLIFFORD JOHNSON LCSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(860) 643-2101

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
004039277MEDICAID (05)CT 

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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 1780730267, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 8 → 16 → 7 7 → 14 → 5 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 1 + 4 + 3 + 0 + 2 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1780730267.

Other Providers at the Same Location


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

Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Marriage & Family Therapist
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST, L2
MANCHESTER, CT 06042
Counselor (Professional)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Marriage & Family Therapist
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Psychologist
317 N MAIN ST
MANCHESTER, CT 06042
Psychologist (Clinical Child & Adolescent)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Counselor
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Counselor (Professional)
317 N MAIN ST
MANCHESTER, CT 06042
Counselor (Mental Health)
317 N MAIN ST
MANCHESTER, CT 06042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780730267, enumerated as an "organization" on January 26, 2007.

The provider is located at 317 N MAIN ST MANCHESTER, CT 06042 and the phone number is (860) 643-2101.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.