KEYS GATE WELLNESS ASSOCIATES, LLC
NPI 1033751037
Psychologist - Clinical in Homestead, FL

NPI Status: Active since October 10, 2019

Contact Information

100 NE 15TH ST STE 101D
HOMESTEAD, FL
ZIP 33030
Phone: (833) 779-8646

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  • Organization
  • Psychologist
  • Clinical
  • CLIA Number: 10D2072722
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 02-03-2026

About KEYS GATE WELLNESS ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Keys Gate Wellness Associates, Llc, a provider established in Homestead, Florida operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1033751037 assigned on October 2019. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 6 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 Dr. Jacqueline Santana Sparber Psy.d. (Psychologist/clinical Director)

NPI
1033751037
Provider Name
KEYS GATE WELLNESS ASSOCIATES, LLC
Entity Type
Organization
Location Address
100 NE 15TH ST STE 101D HOMESTEAD, FL 33030
Location Phone
(833) 779-8646
Mailing Address
14213 SW 289TH TER HOMESTEAD, FL 33033
Mailing Phone
(305) 409-6679
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2019
Last Update Date
10-10-2019
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A clinical psychologist like Keys Gate Wellness Associates, Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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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

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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.

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. JACQUELINE SANTANA SPARBER PSY.D.

Authorized Official Title
PSYCHOLOGIST/CLINICAL DIRECTOR
Authorized Official Phone
(305) 409-6679

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2072722
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
February 04, 2024
Certificate Expiration Date
February 03, 2026
Laboratory Director
HASSAN ALI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Keys Gate Wellness Associates, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1033751037
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063145206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 5 + 2 + 0 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1033751037 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720683345 LYLLYMAR COLON RODRIGUEZ
Individual
Psychologist100 NE 15TH ST STE 101D
HOMESTEAD, FL 33030
(833) 779-8646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033751037, enumerated in the NPI registry as an "organization" on October 10, 2019

The provider is located at 100 Ne 15th St Ste 101d Homestead, Fl 33030 and the phone number is (833) 779-8646

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider's CLIA number is 10D2072722 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 10, 2019. 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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