DFAS
NPI 1871036194
Clinic/Center - Adult Mental Health in Fairfield, CA

NPI Status: Active since November 19, 2016

Contact Information

2323 JULIAN LN
FAIRFIELD, CA
ZIP 94534
Phone: (301) 633-9503

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About DFAS

This page provides the complete NPI Profile along with additional information for Dfas, a provider established in Fairfield, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1871036194 assigned on November 2016. The practitioner's primary taxonomy code is 261QM0850X with license number R190890 (MD). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Dfas. The authorized official of this NPI record is Dr. Rachel Anne Broussard Dnp (Pmhnp)

NPI
1871036194
Provider Legal Name
U.S. AIR FORCE
Other Organization Name
DFAS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2323 JULIAN LN FAIRFIELD, CA 94534
Location Phone
(301) 633-9503
Mailing Address
2323 JULIAN LN FAIRFIELD, CA 94534
Mailing Phone
(301) 633-9503
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2016
Last Update Date
11-19-2016
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
R190890
License State
MD
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.

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. RACHEL ANNE BROUSSARD DNP

Authorized Official Title
PMHNP
Authorized Official Phone
(301) 633-9503

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1871036194
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281410312118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 0 + 3 + 1 + 2 + 1 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1871036194 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871036194, enumerated as an "organization" on November 19, 2016.

The provider is located at 2323 JULIAN LN FAIRFIELD, CA 94534 and the phone number is (301) 633-9503.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.