FAIRLAWN BEHAVIORAL ASSOCIATES LLC
NPI 1861876419
Psychologist - Prescribing (Medical) in Fair Lawn, NJ

NPI Status: Active since July 14, 2015

Contact Information

15-01 BROADWAY
SUITE# 10B
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 342-4004
Fax: (201) 342-4008

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  • Organization
  • Psychologist
  • Prescribing (Medical)

About FAIRLAWN BEHAVIORAL ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Fairlawn Behavioral Associates Llc, a provider established in Fair Lawn, New Jersey operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1861876419 assigned on July 2015. The practitioner's primary taxonomy code is 103TP0016X with license number 25MA6506500 (NJ). The provider is registered as an organization and their NPI record was last updated 11 years ago. Fairlawn Behavioral Associates Llc 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 Mr. Mohsan Jan (Administartor)

NPI
1861876419
Provider Name
FAIRLAWN BEHAVIORAL ASSOCIATES LLC
Entity Type
Organization
Location Address
15-01 BROADWAY SUITE# 10B FAIR LAWN, NJ 07410
Location Phone
(201) 342-4004
Location Fax
(201) 342-4008
Mailing Address
PO BOX 809 TEANECK, NJ 07666
Mailing Phone
(201) 342-4004
Mailing Fax
(201) 342-4008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2015
Last Update Date
07-14-2015
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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

Psychologist Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
License No.
25MA6506500
License State
NJ
Taxonomy Description
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

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.

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. MOHSAN JAN

Authorized Official Title
ADMINISTARTOR
Authorized Official Phone
(201) 289-8455

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
073813MEDICARE PIN (08)NJ 
7492201MEDICAID (05)NJ 

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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 1861876419, 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.

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

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 + 1 + 6 + 7 + 1 + 2 + 4 + 2 + 24 = 61

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.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1861876419.

Other Providers at the Same Location


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

Internal Medicine (Gastroenterology)
15-01 BROADWAY, SUITE 28
FAIR LAWN, NJ 07410
Internal Medicine (Gastroenterology)
15-01 BROADWAY, SUITE # 28
FAIR LAWN, NJ 07410
Pediatrics
15-01 BROADWAY, SUITE36
FAIR LAWN, NJ 07410
Specialist
15-01 BROADWAY, STE 20
FAIR LAWN, NJ 07410
Specialist
15-01 BROADWAY, SUITE 20
FAIR LAWN, NJ 07410
Podiatrist (Foot Surgery)
15-01 BROADWAY, 30C
FAIR LAWN, NJ 07410
Psychiatry & Neurology (Geriatric Psychiatry)
15-01 BROADWAY
FAIR LAWN, NJ 07410
Psychiatry & Neurology (Psychiatry)
15-01 BROADWAY, SUITE 10B
FAIR LAWN, NJ 07410
Dermatology
15-01 BROADWAY, SUITE 22
FAIR LAWN, NJ 07410
Physical Therapist
15-01 BROADWAY, SUITE 30A
FAIR LAWN, NJ 07410
Physical Therapist
15-01 BROADWAY, SUITE 30A
FAIR LAWN, NJ 07410
Physical Therapist
15-01 BROADWAY, SUITE30A
FAIR LAWN, NJ 07410
Dentist (General Practice)
15-01 BROADWAY, SUITE 10-F
FAIR LAWN, NJ 07410
Dentist (General Practice)
15-01 BROADWAY
FAIR LAWN, NJ 07410
Durable Medical Equipment & Medical Supplies
15-01 BROADWAY
FAIR LAWN, NJ 07410
Clinic/Center (Health Service)
15-01 BROADWAY, SUITE 20
FAIR LAWN, NJ 07410
Clinic/Center (Physical Therapy)
15-01 BROADWAY, SUITE 9
FAIR LAWN, NJ 07410
Dentist
15-01 BROADWAY, SUITE 10F
FAIR LAWN, NJ 07410
Surgery
15-01 BROADWAY, STE. #22
FAIR LAWN, NJ 07410
Podiatrist (Foot Surgery)
15-01 BROADWAY, SUITE 11
FAIR LAWN, NJ 07410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861876419, enumerated as an "organization" on July 14, 2015.

The provider is located at 15-01 BROADWAY SUITE# 10B FAIR LAWN, NJ 07410 and the phone number is (201) 342-4004.

Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).

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