PHOENIX HEALTH SERVICES, LLC
NPI 1013932904
Clinic/Center - Mental Health (Including Community Mental Health Center) in Shreveport, LA

NPI Status: Active since July 13, 2006

Contact Information

2021 LINE AVE
SHREVEPORT, LA
ZIP 71104
Phone: (318) 221-0661
Fax: (318) 221-0662

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

About PHOENIX HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Phoenix Health Services, Llc, a provider established in Shreveport, Louisiana 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 1013932904 assigned on July 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Suresh K Donepudi M.d. (Owner)

NPI
1013932904
Provider Name
PHOENIX HEALTH SERVICES, LLC
Entity Type
Organization
Location Address
2021 LINE AVE SHREVEPORT, LA 71104
Location Phone
(318) 221-0661
Location Fax
(318) 221-0662
Mailing Address
8921 MANSFIELD RD SHREVEPORT, LA 71118
Mailing Phone
(318) 688-5416
Mailing Fax
(318) 221-0662
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2006
Last Update Date
08-08-2008
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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

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

DR. SURESH K DONEPUDI M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(318) 688-5416

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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.
1013932904
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023183490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 1 + 8 + 3 + 4 + 9 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1013932904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013932904, enumerated in the NPI registry as an "organization" on July 13, 2006

The provider is located at 2021 Line Ave Shreveport, La 71104 and the phone number is (318) 221-0661

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on July 13, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.