CITYBLOCK HEALTH
NPI 1861085102
Clinic/Center - Multi-Specialty in Washington, DC

NPI Status: Active since February 18, 2021

Contact Information

80 M ST SE
WASHINGTON, DC
ZIP 20003
Phone: (833) 904-0620

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 09D2245998
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 12-19-2025

About CITYBLOCK HEALTH

This page provides the complete NPI Profile along with additional information for Cityblock Health, a provider established in Washington, District Of Columbia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1861085102 assigned on February 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Cityblock Health. The authorized official of this NPI record is Deborah Jordan (Legal)

NPI
1861085102
Provider Legal Name
CITYBLOCK MEDICAL PRACTICE DC PC
Other Organization Name
CITYBLOCK HEALTH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
80 M ST SE WASHINGTON, DC 20003
Location Phone
(833) 904-0620
Mailing Address
495 FLATBUSH AVE STE C5 BROOKLYN, NY 11225
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-18-2021
Last Update Date
09-15-2022
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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)
1261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
3261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

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

DEBORAH JORDAN

Authorized Official Title
LEGAL
Authorized Official Phone
(608) 335-0433

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
09D2245998
Facility Type
Mobile Laboratory
Certificate Effective Date
December 20, 2023
Certificate Expiration Date
December 19, 2025
Laboratory Director
KAMERON L. MATTHEWS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cityblock Health 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 1861085102, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 6 → 12 → 3 0 → 0 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 0 + 8 + 1 + 0 + 1 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1861085102.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
80 M ST SE, WE WORK C/O 1ST NEEDS MEDICAL
WASHINGTON, DC 20003
Counselor (Mental Health)
80 M ST SE
WASHINGTON, DC 20003
Clinic/Center (Adult Mental Health)
80 M ST SE
WASHINGTON, DC 20003
Occupational Therapist
80 M ST SE
WASHINGTON, DC 20003
Community/Behavioral Health
80 M ST SE
WASHINGTON, DC 20003
Community/Behavioral Health
80 M ST SE
WASHINGTON, DC 20003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861085102, enumerated as an "organization" on February 18, 2021.

The provider is located at 80 M ST SE WASHINGTON, DC 20003 and the phone number is (833) 904-0620.

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