KSA YOUTH FOUNDATION INC.
NPI 1013483023
Clinic/Center - Rehabilitation, Substance Use Disorder in Fort Washington, MD
NPI Status: Active since October 17, 2018
Contact Information
10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD
ZIP 20744
Phone: (240) 766-4194
Fax: (301) 485-0363
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About KSA YOUTH FOUNDATION INC.
This page provides the complete NPI Profile along with additional information for Ksa Youth Foundation Inc., a provider established in Fort Washington, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1013483023 assigned on October 2018. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Ksa Youth Foundation Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Katrina Ann Wilkins-jackson Phd (President & Ceo)
- NPI
- 1013483023
- Provider Name
- KSA YOUTH FOUNDATION INC.
- Entity Type
- Organization
- Location Address
- 10905 FORT WASHINGTON RD STE 105 FORT WASHINGTON, MD 20744
- Location Phone
- (240) 766-4194
- Location Fax
- (301) 485-0363
- Mailing Address
- 10905 FORT WASHINGTON RD STE 105 FORT WASHINGTON, MD 20744
- Mailing Phone
- (240) 766-4194
- Mailing Fax
- (301) 485-0363
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-17-2018
- Last Update Date
- 10-03-2023
- 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
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- 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) |
|---|---|---|---|---|
| 1 | 163WA0400X | Nursing Service Providers | Registered Nurse | |
| 2 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 405300000X | Other Service Providers | Prevention Professional |
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.
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 |
|---|---|---|---|
| 132375000 | MEDICAID (05) | MD |
Reviews for KSA YOUTH FOUNDATION INC.
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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. | |||||||||
| 1 | 0 | 1 | 3 | 4 | 8 | 3 | 0 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 8 | 8 | 6 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 8 + 8 + 6 + 0 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1013483023 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659077287 | KSA YOUTH FOUNDATION INC. Organization | General Practice | 10905 FORT WASHINGTON RD STE 105 FORT WASHINGTON, MD 20744 (240) 766-4194 |
| 1598267700 | KSA YOUTH FOUNDATION INC. Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 10905 FORT WASHINGTON RD STE 105 FORT WASHINGTON, MD 20744 (240) 766-4194 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013483023, enumerated in the NPI registry as an "organization" on October 17, 2018
The provider is located at 10905 Fort Washington Rd Ste 105 Fort Washington, Md 20744 and the phone number is (240) 766-4194
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 17, 2018. 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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