FAYETTEVILLE VA MEDICAL CENER
NPI 1881085264
Psychiatric Hospital in Spring Lake, NC

NPI Status: Active since February 06, 2015

Contact Information

1111 SHELL DR
APT 60
SPRING LAKE, NC
ZIP 28390
Phone: (910) 488-2120

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  • Organization
  • Psychiatric Hospital
  • CLIA Number: 34D2105697
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 05-22-2026

About FAYETTEVILLE VA MEDICAL CENER

This page provides the complete NPI Profile along with additional information for Fayetteville Va Medical Cener, a provider established in Spring Lake, North Carolina operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1881085264 assigned on February 2015. The practitioner's primary taxonomy code is 283Q00000X with license number PS017236 (PA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Yoshiko Yamamoto Phd (Psychologist)

NPI
1881085264
Provider Name
FAYETTEVILLE VA MEDICAL CENER
Entity Type
Organization
Location Address
1111 SHELL DR APT 60 SPRING LAKE, NC 28390
Location Phone
(910) 488-2120
Mailing Address
1111 SHELL DR APT 60 SPRING LAKE, NC 28390
Mailing Phone
(910) 488-2120
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-06-2015
Last Update Date
02-06-2015
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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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
License No.
PS017236
License State
PA
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

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. YOSHIKO YAMAMOTO PHD

Authorized Official Title
PSYCHOLOGIST
Authorized Official Phone
(910) 488-2120

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
34D2105697
Facility Type
Rural Health Clinic
Certificate Effective Date
December 02, 2015
Certificate Expiration Date
May 22, 2026
Laboratory Director
TERRI S. GILES
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Fayetteville Va Medical Cener on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1881085264, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 8 → 16 → 7 0 → 0 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 6 + 1 + 0 + 8 + 1 + 0 + 2 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1881085264.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881085264, enumerated as an "organization" on February 06, 2015.

The provider is located at 1111 SHELL DR APT 60 SPRING LAKE, NC 28390 and the phone number is (910) 488-2120.

Psychiatric Hospital with taxonomy code 283Q00000X.