TIME WELLNESS AR
NPI 1891575890
Psychiatric Hospital in Fayetteville, AR
NPI Status: Active since October 05, 2023
Contact Information
4220 N CROSSOVER RD STE 102
FAYETTEVILLE, AR
ZIP 72703
Phone: (954) 654-2350
- Organization
- Psychiatric Hospital
- CLIA Number: 04D2301620
- CLIA Cert. Type: Other - DRUG TREATMENT
- CLIA Exp. Date: 03-27-2026
About TIME WELLNESS AR
This page provides the complete NPI Profile along with additional information for Time Wellness Ar, a provider established in Fayetteville, Arkansas operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1891575890 assigned on October 2023. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Daniel E Fesefeldt Iii (Chief Operating Officer)
- NPI
- 1891575890
- Provider Name
- TIME WELLNESS AR
- Entity Type
- Organization
- Location Address
- 4220 N CROSSOVER RD STE 102 FAYETTEVILLE, AR 72703
- Location Phone
- (954) 654-2350
- Mailing Address
- 4220 N CROSSOVER RD STE 102 FAYETTEVILLE, AR 72703
- Mailing Phone
- (954) 654-2350
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-05-2023
- Last Update Date
- 10-09-2024
- Code Navigator
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
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- 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.
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) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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
- 04D2301620
- Facility Type
- Other - DRUG TREATMENT
- Certificate Effective Date
- March 28, 2024
- Certificate Expiration Date
- March 27, 2026
- Laboratory Director
- DR. MARY E. ELLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Time Wellness Ar 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 1891575890, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891575890, enumerated as an "organization" on October 05, 2023.
The provider is located at 4220 N CROSSOVER RD STE 102 FAYETTEVILLE, AR 72703 and the phone number is (954) 654-2350.
Psychiatric Hospital with taxonomy code 283Q00000X.
