CLARKSVILLE PSYCH HOSPITAL, LLC
NPI 1033988100
Clinic/Center - Adult Mental Health in Clarksville, IN

NPI Status: Active since December 29, 2023

Contact Information

1612 BLACKISTON VIEW DR
CLARKSVILLE, IN
ZIP 47129
Phone: (812) 670-4760
Fax: (812) 725-8702

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About CLARKSVILLE PSYCH HOSPITAL, LLC

This page provides the complete NPI Profile along with additional information for Clarksville Psych Hospital, Llc, a provider established in Clarksville, Indiana operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1033988100 assigned on December 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Tamara Moore (Revenue Director)

NPI
1033988100
Provider Name
CLARKSVILLE PSYCH HOSPITAL, LLC
Entity Type
Organization
Location Address
1612 BLACKISTON VIEW DR CLARKSVILLE, IN 47129
Location Phone
(812) 670-4760
Location Fax
(812) 725-8702
Mailing Address
PO BOX 1284 INDIANAPOLIS, IN 46206
Mailing Phone
(812) 670-4760
Mailing Fax
(812) 725-8702
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2023
Last Update Date
12-29-2023
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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

TAMARA MOORE

Authorized Official Title
REVENUE DIRECTOR
Authorized Official Phone
(219) 804-2526

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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.
1033988100
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631881610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 8 + 8 + 1 + 6 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033988100 is valid because the calculated check digit 0 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
1194373571CLARKSVILLE PSYCH HOSPITAL, LLC
Organization
Psychiatric Hospital1612 BLACKISTON VIEW DR
CLARKSVILLE, IN 47129
(317) 870-1396

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033988100, enumerated in the NPI registry as an "organization" on December 29, 2023

The provider is located at 1612 Blackiston View Dr Clarksville, In 47129 and the phone number is (812) 670-4760

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on December 29, 2023. 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.