HEALING EDGE RECOVERY AND WELLNESS CENTER
NPI 1790553329
Clinic/Center - Adult Mental Health in Phoenix, AZ
NPI Status: Active since December 13, 2023
Contact Information
4220 N 20TH AVE STE 100
PHOENIX, AZ
ZIP 85015
Phone: (623) 872-1818
Fax: (623) 872-1819
- Organization
- Clinic/Center
- Adult Mental Health
- CLIA Number: 03D2290927
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-02-2027
About HEALING EDGE RECOVERY AND WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for Healing Edge Recovery And Wellness Center, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1790553329 assigned on December 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1790553329
- Provider Legal Name
- HEALING EDGE RECOVERY AND WELLNESS CENTER
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4220 N 20TH AVE STE 100 PHOENIX, AZ 85015
- Location Phone
- (623) 872-1818
- Location Fax
- (623) 872-1819
- Mailing Address
- 4120 N 108TH AVE STE 116 PHOENIX, AZ 85037
- Mailing Phone
- (623) 872-1818
- Mailing Fax
- (623) 872-1819
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2023
- Last Update Date
- 02-11-2025
- Code Navigator
Location Map
Secondary Locations
- 4220 N 20th Ave Ste 200
Phoenix, AZ 85015
(602) 753-5544
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 Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2290927
- Facility Type
- Physician Office
- Certificate Effective Date
- October 03, 2025
- Certificate Expiration Date
- October 02, 2027
- Laboratory Director
- HARSIMRAN SINGH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Healing Edge Recovery And Wellness Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1790553329, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790553329, enumerated as an "organization" on December 13, 2023.
The provider is located at 4220 N 20TH AVE STE 100 PHOENIX, AZ 85015 and the phone number is (623) 872-1818.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
