RANDY CLARK LPC LLC
NPI 1932577459
Community/Behavioral Health in Upper Montclair, NJ

NPI Status: Active since September 15, 2015

Contact Information

209 COOPER AVENUE
SUITE 2
UPPER MONTCLAIR, NJ
ZIP 07043
Phone: (973) 220-9864
Fax: (973) 807-9363

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  • Organization
  • Community/Behavioral Health

About RANDY CLARK LPC LLC

Randy Clark Lpc Llc is a provider established in Upper Montclair, New Jersey operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1932577459 assigned on September 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is William Randall Clark Lpc Lcadc (Owner)

NPI
1932577459
Provider Name
RANDY CLARK LPC LLC
Entity Type
Organization
Location Address
209 COOPER AVENUE SUITE 2 UPPER MONTCLAIR, NJ 07043
Location Phone
(973) 220-9864
Location Fax
(973) 807-9363
Mailing Address
209 COOPER AVENUE SUITE 2 UPPER MONTCLAIR, NJ 07043
Mailing Phone
(973) 220-9864
Mailing Fax
(973) 807-9363
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2015
Last Update Date
08-19-2016
Code Navigator

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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

WILLIAM RANDALL CLARK LPC LCADC

Authorized Official Title
OWNER
Authorized Official Phone
(973) 220-9864

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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.
1932577459
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
296210714410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 1 + 0 + 7 + 1 + 4 + 4 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1932577459 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811041809MS. KAREN BETH ROSEN LCSW
Individual
Social Worker (Clinical)209 COOPER AVENUE SUITE 5C
UPPER MONTCLAIR, NJ 07043
(973) 509-2955
1548308091DR. ELIZABETH ANNE CIERI PSY.D.
Individual
Psychologist209 COOPER AVENUE SUITE 10A
UPPER MONTCLAIR, NJ 07043
(973) 509-0090
1932528312 WILLIAM CLARK LPC, LCADC
Individual
Counselor (Professional)209 COOPER AVENUE SUITE 2
UPPER MONTCLAIR, NJ 07043
(973) 220-9864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932577459, enumerated in the NPI registry as an "organization" on September 15, 2015

The provider is located at 209 Cooper Avenue Suite 2 Upper Montclair, Nj 07043 and the phone number is (973) 220-9864

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on September 15, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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