SHAKE THE DUST THERAPY, LLC
NPI 1063119014
Clinic/Center - Adult Mental Health in Germantown, MD

NPI Status: Active since February 09, 2023

Contact Information

11509 SIR SPENCER WAY
GERMANTOWN, MD
ZIP 20876
Phone: (301) 717-8124

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About SHAKE THE DUST THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Shake The Dust Therapy, Llc, a provider established in Germantown, Maryland operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1063119014 assigned on February 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Michele Arora Lcsw-c (Resident Agent)

NPI
1063119014
Provider Name
SHAKE THE DUST THERAPY, LLC
Entity Type
Organization
Location Address
11509 SIR SPENCER WAY GERMANTOWN, MD 20876
Location Phone
(301) 717-8124
Mailing Address
267 KENTLANDS BLVD GAITHERSBURG, MD 20878
Mailing Phone
(301) 717-8124
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2023
Last Update Date
02-09-2023
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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.

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)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

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

MICHELE ARORA LCSW-C

Authorized Official Title
RESIDENT AGENT
Authorized Official Phone
(301) 717-8124

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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.
1063119014
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123211802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 1 + 1 + 8 + 0 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1063119014 is valid because the calculated check digit 4 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
1609575612SHAKE THE DUST THERAPY, LLC
Organization
Social Worker (Clinical)11509 SIR SPENCER WAY
GERMANTOWN, MD 20876
(301) 717-8124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063119014, enumerated in the NPI registry as an "organization" on February 09, 2023

The provider is located at 11509 Sir Spencer Way Germantown, Md 20876 and the phone number is (301) 717-8124

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 February 09, 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.