HARRY JERISG CENTER
NPI 1063622314
Speech-Language Pathologist in San Antonio, TX
NPI Status: Active since May 23, 2007
Contact Information
411 SW 24TH ST
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 434-6711
Fax: (210) 434-9360
- Organization
- Speech-Language Pathologist
- CLIA Number: 45D1011389
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 04-08-2025
About HARRY JERISG CENTER
This page provides the complete NPI Profile along with additional information for Harry Jerisg Center, a provider established in San Antonio, Texas operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1063622314 assigned on May 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 11218 (TX). The provider is registered as an organization and their NPI record was last updated 5 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 provider's is doing business as Harry Jerisg Center. The authorized official of this NPI record is Dr. Mary Ann Acevedo Ph. D. (Director)
- NPI
- 1063622314
- Provider Legal Name
- OUR LADY OF THE LAKE UNIVERSITY
- Other Organization Name
- HARRY JERISG CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 411 SW 24TH ST SAN ANTONIO, TX 78207
- Location Phone
- (210) 434-6711
- Location Fax
- (210) 434-9360
- Mailing Address
- 411 SW 24TH ST SAN ANTONIO, TX 78207
- Mailing Phone
- (210) 434-6711
- Mailing Fax
- (210) 434-9360
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2007
- Last Update Date
- 08-22-2020
- 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
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 11218
- License State
- TX
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Group Taxonomy 193400000X MULTIPLE 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.
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
- 45D1011389
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- April 09, 2023
- Certificate Expiration Date
- April 08, 2025
- Laboratory Director
- JULIE R. KNEUPPER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Harry Jerisg Center 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 | 6 | 3 | 6 | 2 | 2 | 3 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 12 | 2 | 4 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 2 + 2 + 4 + 3 + 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 = 4 | 4 | ||||||||
The NPI number 1063622314 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063476570 | DR. CHRISTINE CARMICHAEL PH.D. Individual | Speech-Language Pathologist | 411 SW 24TH ST SAN ANTONIO, TX 78207 (210) 434-6711 |
| 1407054786 | DR. WELDON PAUL HARDEE CCC-SLP Individual | Speech-Language Pathologist | 411 SW 24TH ST SAN ANTONIO, TX 78207 (210) 434-6711 |
| 1679705800 | PATRICIA J KIMES M.ED. CCC-SLP Individual | Speech-Language Pathologist | 411 SW 24TH ST SAN ANTONIO, TX 78207 (210) 434-6711 |
| 1538461587 | MS. MARIE ANTONETTE WILSON MS CCC SLP Individual | Speech-Language Pathologist | 411 SW 24TH ST SAN ANTONIO, TX 78207 (210) 431-3938 |
| 1295167740 | CLAUDIA L LOYA WARD MA, CCC-SLP Individual | Speech-Language Pathologist | 411 SW 24TH ST SAN ANTONIO, TX 78207 (210) 431-3938 |
| 1295288595 | COREY BEECHNER Individual | Specialist/Technologist (Athletic Trainer) | 411 SW 24TH ST SAN ANTONIO, TX 78207 (210) 434-6711 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063622314, enumerated in the NPI registry as an "organization" on May 23, 2007
The provider is located at 411 Sw 24th St San Antonio, Tx 78207 and the phone number is (210) 434-6711
This medical organization specializes in Speech-Language Pathologist with taxonomy code 235Z00000X
The provider's CLIA number is 45D1011389 for a "school/student health service" 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 May 23, 2007. 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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