MYSTIC MEDICAL ASSOCIATES LLC
NPI 1972954477
Clinic/Center - Primary Care in Mystic, CT

NPI Status: Active since June 27, 2016

Contact Information

12 ROOSEVELT AVE
SECOND FLOOR
MYSTIC, CT
ZIP 06355
Phone: (860) 245-4126
Fax: (860) 245-4128

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  • Organization
  • Clinic/Center
  • Primary Care

About MYSTIC MEDICAL ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Mystic Medical Associates Llc, a primary care provider established in Mystic, Connecticut operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1972954477 assigned on June 2016. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Mystic Medical Associates 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 Christopher J Anderson Msn Fnp-c (Aprn)

NPI
1972954477
Provider Name
MYSTIC MEDICAL ASSOCIATES LLC
Entity Type
Organization
Location Address
12 ROOSEVELT AVE SECOND FLOOR MYSTIC, CT 06355
Location Phone
(860) 245-4126
Location Fax
(860) 245-4128
Mailing Address
495 GOLD STAR HWY STE 112 GROTON, CT 06340
Mailing Phone
(860) 245-4126
Mailing Fax
(860) 245-4128
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2016
Last Update Date
03-21-2024
Code Navigator

A primary care provider (PCP) like Mystic Medical Associates Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 230 S Main St. Suite #2
    Cheshire, CT 06410
    (860) 245-4126

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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

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.

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

CHRISTOPHER J ANDERSON MSN FNP-C

Authorized Official Title
APRN
Authorized Official Phone
(860) 245-4126

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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 1972954477, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 7 → 14 → 5 9 → 18 → 9 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 8 + 5 + 8 + 4 + 1 + 4 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1972954477.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Psychologist
12 ROOSEVELT AVE, APROMA STUDIOS
MYSTIC, CT 06355
Psychologist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Naturopath
12 ROOSEVELT AVE
MYSTIC, CT 06355
Marriage & Family Therapist
12 ROOSEVELT AVE, SUITE 203
MYSTIC, CT 06355
Naturopath
12 ROOSEVELT AVE
MYSTIC, CT 06355
Social Worker (Clinical)
12 ROOSEVELT AVE, SUITE 203
MYSTIC, CT 06355
Marriage & Family Therapist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Naturopath
12 ROOSEVELT AVE
MYSTIC, CT 06355
Naturopath
12 ROOSEVELT AVE
MYSTIC, CT 06355
Counselor (Professional)
12 ROOSEVELT AVE
MYSTIC, CT 06355
Naturopath
12 ROOSEVELT AVE
MYSTIC, CT 06355
Marriage & Family Therapist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Optometrist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Optometrist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Marriage & Family Therapist
12 ROOSEVELT AVE
MYSTIC, CT 06355
Social Worker (Clinical)
12 ROOSEVELT AVE
MYSTIC, CT 06355
Dentist (General Practice)
12 ROOSEVELT AVE
MYSTIC, CT 06355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972954477, enumerated as an "organization" on June 27, 2016.

The provider is located at 12 ROOSEVELT AVE SECOND FLOOR MYSTIC, CT 06355 and the phone number is (860) 245-4126.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.