HEARTWISE MENTAL HEALTH CLINIC
NPI 1053141176
Clinic/Center - Mental Health (Including Community Mental Health Center) in Omaha, NE
NPI Status: Active since August 05, 2024
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 28D2310703
- CLIA Cert. Type: Other - OUTPATIENT SUD TREATMENT
- CLIA Exp. Date: 09-08-2026
About HEARTWISE MENTAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Heartwise Mental Health Clinic, a provider established in Omaha, Nebraska 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 1053141176 assigned on August 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Sariah Hopkins (Advisor)
- NPI
- 1053141176
- Provider Name
- HEARTWISE MENTAL HEALTH CLINIC
- Entity Type
- Organization
- Location Address
- 2806 S 143RD PLZ OMAHA, NE 68144
- Location Phone
- (718) 400-9077
- Mailing Address
- 4403 15TH AVE BROOKLYN, NY 11219
- Mailing Phone
- (718) 400-9077
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2024
- Last Update Date
- 08-05-2024
- 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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- 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 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 28D2310703
- Facility Type
- Other - OUTPATIENT SUD TREATMENT
- Certificate Effective Date
- September 09, 2024
- Certificate Expiration Date
- September 08, 2026
- Laboratory Director
- ZALMEN LOVI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heartwise Mental Health Clinic 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. | |||||||||
| 1 | 0 | 5 | 3 | 1 | 4 | 1 | 1 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 2 | 4 | 2 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 2 + 4 + 2 + 1 + 1 + 4 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1053141176 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124836820 | HAYLI PAULSEN MOT, OTR/L Individual | Occupational Therapist | 2806 S 143RD PLZ OMAHA, NE 68144 (402) 266-6667 |
| 1275342388 | AMANDA LOVERCHECK M.S. CCC-SLP Individual | Speech-Language Pathologist | 2806 S 143RD PLZ OMAHA, NE 68144 (402) 266-6667 |
| 1487466637 | HEARTWISE RELATED SERVICES LLC Organization | Occupational Therapist | 2806 S 143RD PLZ OMAHA, NE 68144 (718) 400-9077 |
| 1750184032 | HEARTWISE IDD SERVICES LLC Organization | Clinic/Center (Developmental Disabilities) | 2806 S 143RD PLZ OMAHA, NE 68144 (402) 266-6667 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053141176, enumerated in the NPI registry as an "organization" on August 05, 2024
The provider is located at 2806 S 143rd Plz Omaha, Ne 68144 and the phone number is (718) 400-9077
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider's CLIA number is 28D2310703 for a "other - outpatient sud treatment" 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 August 05, 2024. 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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