MYNDFIT
NPI 1790542611
Exclusive Provider Organization in San Antonio, TX

NPI Status: Active since March 06, 2024

Contact Information

13423 CORAM PEAK ST
SAN ANTONIO, TX
ZIP 78248
Phone: (210) 665-3330

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  • Organization
  • Exclusive Provider Organization

About MYNDFIT

This page provides the complete NPI Profile along with additional information for Myndfit, a provider established in San Antonio, Texas operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1790542611 assigned on March 2024. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Myndfit operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Myndfit. The authorized official of this NPI record is Mr. Carlton Thomas Fairley Jr. Qmhp-cs (Owner/chief Executive Officer)

NPI
1790542611
Provider Legal Name
MYNDFIT MENTAL HEALTH, LLC
Other Organization Name
MYNDFIT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13423 CORAM PEAK ST SAN ANTONIO, TX 78248
Location Phone
(210) 665-3330
Mailing Address
13423 CORAM PEAK ST SAN ANTONIO, TX 78248
Mailing Phone
(210) 665-3330
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2024
Last Update Date
03-20-2024
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2251S00000XAgencies

Community/Behavioral Health

 
3252Y00000XAgencies

Early Intervention Provider Agency

 
4253Z00000XAgencies

In Home Supportive Care

 
5305R00000XManaged Care Organizations

Preferred Provider Organization

 
6315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

MR. CARLTON THOMAS FAIRLEY JR. QMHP-CS

Authorized Official Title
OWNER/CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(210) 665-3330

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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 1790542611, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 9 → 18 → 9 5 → 10 → 1 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 0 + 4 + 4 + 6 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1790542611.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790542611, enumerated as an "organization" on March 06, 2024.

The provider is located at 13423 CORAM PEAK ST SAN ANTONIO, TX 78248 and the phone number is (210) 665-3330.

Exclusive Provider Organization with taxonomy code 302F00000X.