PEAK LONGEVITY LLC
NPI 1922596360
Clinic/Center - Mental Health (Including Community Mental Health Center) in North Haven, CT

NPI Status: Active since April 30, 2018

Contact Information

451 STATE ST
NORTH HAVEN, CT
ZIP 06473
Phone: (203) 281-4325
Fax: (203) 281-4324

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Mental Health (Including Community Menta...

About PEAK LONGEVITY LLC

This page provides the complete NPI Profile along with additional information for Peak Longevity Llc, a provider established in North Haven, Connecticut operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1922596360 assigned on April 2018. The practitioner's primary taxonomy code is 261QM0801X with license number 005904 (CT). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Deborah Marcus, Lcsw Lcsw (Director, Lcsw)

NPI: 1922596360
Provider Name: PEAK LONGEVITY LLC
Entity Type: Organization
Location Address: 451 STATE ST NORTH HAVEN, CT 06473
Location Phone: (203) 281-4325
Location Fax: (203) 281-4324
Mailing Address: 451 STATE ST NORTH HAVEN, CT 06473
Mailing Phone: (203) 281-4325
Mailing Fax: (203) 281-4324
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-30-2018
Last Update Date: 04-30-2018
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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: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities
License No.: 005904
License State: CT

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	1041C0700X	Behavioral Health & Social Service Providers	Social Worker Clinical	005904 (CT)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross Blue Shield

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Anthem Blue Cross

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: DEBORAH MARCUS, LCSW LCSW
Authorized Official Title: DIRECTOR, LCSW
Authorized Official Phone: (203) 281-4325

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
140005904CT03	OTHER (01)	CT	ANTHEM BCBS

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.
1	9	2	2	5	9	6	3	6	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	4	2	10	9	12	3	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 0 + 9 + 1 + 2 + 3 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1922596360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 13 providers are registered at the same or nearby location.

LIESEL L. GOULD M.D.

Pediatrics

(Adolescent Medicine)