COMMUNITY CONNECTIONS HEALTHCARE SERVICES, LLC
NPI 1902124191
Psychiatry & Neurology - Addiction Psychiatry in Fayetteville, NC

NPI Status: Active since May 12, 2010

Contact Information

690 N REILLY RD
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 879-6102
Fax: (919) 544-1661

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  • Organization
  • Psychiatry & Neurology
  • Addiction Psychiatry

About COMMUNITY CONNECTIONS HEALTHCARE SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Community Connections Healthcare Services, Llc, a provider established in Fayetteville, North Carolina operating as a Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1902124191 assigned on May 2010. The practitioner's primary taxonomy code is 2084P0802X with license number 127550 (NC). The provider is registered as an organization and their NPI record was last updated 13 years ago. Community Connections Healthcare Services, 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 Ms. Allesha Mckoy (Executive Director)

NPI
1902124191
Provider Name
COMMUNITY CONNECTIONS HEALTHCARE SERVICES, LLC
Entity Type
Organization
Location Address
690 N REILLY RD FAYETTEVILLE, NC 28303
Location Phone
(910) 879-6102
Location Fax
(919) 544-1661
Mailing Address
282 W MILLBROOK RD SUITE 100 RALEIGH, NC 27609
Mailing Phone
(919) 665-4673
Mailing Fax
(919) 544-1661
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2010
Last Update Date
04-30-2013
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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

Psychiatry & Neurology Addiction Psychiatry

Taxonomy Code
2084P0802X
Type
Allopathic & Osteopathic Physicians
License No.
127550
License State
NC
Taxonomy Description
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

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

MS. ALLESHA MCKOY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(910) 879-6102

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
5914232MEDICAID (05)NC 
5914731MEDICAID (05)NC 

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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 1902124191, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 0 → 0 1 → 2 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 2 + 2 + 8 + 1 + 1 + 8 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1902124191.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Home Health
690 N REILLY RD, SUITE 8
FAYETTEVILLE, NC 28303
Counselor (Professional)
690 N REILLY RD, STE, 3
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
690 N REILLY RD
FAYETTEVILLE, NC 28303
Community/Behavioral Health
690 N REILLY RD, SUITE 2
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
690 N REILLY RD, SUITE # 214
FAYETTEVILLE, NC 28303
Counselor (Professional)
690 N REILLY RD, SUITE 9
FAYETTEVILLE, NC 28303
Developmental Therapist
690 N REILLY RD
FAYETTEVILLE, NC 28303
Technician (Personal Care Attendant)
690 N REILLY RD
FAYETTEVILLE, NC 28303
Community/Behavioral Health
690 N REILLY RD
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
690 N REILLY RD
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
690 N REILLY RD
FAYETTEVILLE, NC 28303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902124191, enumerated as an "organization" on May 12, 2010.

The provider is located at 690 N REILLY RD FAYETTEVILLE, NC 28303 and the phone number is (910) 879-6102.

Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.

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