AFRICAN AMERICAN MENS HEALTH CLINIC
NPI 1821864893
Clinic/Center - Multi-Specialty in Austin, TX

NPI Status: Active since November 30, 2023

Contact Information

6633 E HIGHWAY 290 STE 100
AUSTIN, TX
ZIP 78723
Phone: (682) 800-3163

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About AFRICAN AMERICAN MENS HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for African American Mens Health Clinic, a provider established in Austin, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1821864893 assigned on November 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. African American Mens Health Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Larry Wallace Jr. (Co-founder & Board President)

NPI
1821864893
Provider Name
AFRICAN AMERICAN MENS HEALTH CLINIC
Entity Type
Organization
Location Address
6633 E HIGHWAY 290 STE 100 AUSTIN, TX 78723
Location Phone
(682) 800-3163
Mailing Address
6633 E HIGHWAY 290 STE 100 AUSTIN, TX 78723
Mailing Phone
(682) 800-3163
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2023
Last Update Date
11-30-2023
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Location Map

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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2104100000XBehavioral Health & Social Service Providers

Social Worker

 
3133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 
4152W00000XEye and Vision Services Providers

Optometrist

 
5202D00000XAllopathic & Osteopathic Physicians

Integrative Medicine

 
6207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
7207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
8208D00000XAllopathic & Osteopathic Physicians

General Practice

 
9208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 
10208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

 
11251B00000XAgencies

Case Management

 
12251S00000XAgencies

Community/Behavioral Health

 
13261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 
14261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 

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

DR. LARRY WALLACE JR.

Authorized Official Title
CO-FOUNDER & BOARD PRESIDENT
Authorized Official Phone
(682) 800-3163

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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 1821864893, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 2 → 4 8 → 16 → 7 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 1 + 6 + 6 + 8 + 8 + 1 + 8 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1821864893.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Federally Qualified Health Center (FQHC))
6633 E HIGHWAY 290 STE 100
AUSTIN, TX 78723

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821864893, enumerated as an "organization" on November 30, 2023.

The provider is located at 6633 E HIGHWAY 290 STE 100 AUSTIN, TX 78723 and the phone number is (682) 800-3163.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.