SOLACE WELLNESS MANAGEMENT SERVICE, LLC
NPI 1912250119
Psychologist - Rehabilitation in Phoenix, AZ
NPI Status: Active since October 25, 2012
Contact Information
4203 S 37TH ST
PHOENIX, AZ
ZIP 85040
Phone: (480) 704-4707
- Organization
- Psychologist
- Rehabilitation
About SOLACE WELLNESS MANAGEMENT SERVICE, LLC
This page provides the complete NPI Profile along with additional information for Solace Wellness Management Service, Llc, a provider established in Phoenix, Arizona operating as a Psychologist, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1912250119 assigned on October 2012. The practitioner's primary taxonomy code is 103TR0400X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Solace Wellness Management Service, 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. Ezekiel Johnson Sr. (Executive Director)
- NPI
- 1912250119
- Provider Name
- SOLACE WELLNESS MANAGEMENT SERVICE, LLC
- Entity Type
- Organization
- Location Address
- 4203 S 37TH ST PHOENIX, AZ 85040
- Location Phone
- (480) 704-4707
- Mailing Address
- 4203 S 37TH ST PHOENIX, AZ 85040
- Mailing Phone
- (480) 704-4707
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2012
- Last Update Date
- 05-07-2015
- 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
Psychologist Rehabilitation
- Taxonomy Code
- 103TR0400X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
| 4 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 5 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist |
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.
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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 1912250119, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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.
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 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912250119, enumerated as an "organization" on October 25, 2012.
The provider is located at 4203 S 37TH ST PHOENIX, AZ 85040 and the phone number is (480) 704-4707.
Psychologist with taxonomy code 103TR0400X and a focus in Rehabilitation.
