CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC
NPI 1073057071
Internal Medicine - Addiction Medicine in Hartford, CT
NPI Status: Active since December 09, 2016
Contact Information
85 GILLETT ST
HARTFORD, CT
ZIP 06105
Phone: (615) 425-0220
Fax: (413) 727-3619
- Organization
- Internal Medicine
- Addiction Medicine
About CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC
This page provides the complete NPI Profile along with additional information for Cleanslate Medical Group Of Connecticut Llc, an internist established in Hartford, Connecticut operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1073057071 assigned on December 2016. The practitioner's primary taxonomy code is 207RA0401X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Cleanslate Medical Group Of Connecticut Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Robert Hutchison (Cfo)
- NPI
- 1073057071
- Provider Name
- CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC
- Entity Type
- Organization
- Location Address
- 85 GILLETT ST HARTFORD, CT 06105
- Location Phone
- (615) 425-0220
- Location Fax
- (413) 727-3619
- Mailing Address
- 8 CADILLAC DR STE 180 BRENTWOOD, TN 37027
- Mailing Phone
- (615) 425-0220
- Mailing Fax
- (413) 727-3619
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2016
- Last Update Date
- 03-23-2023
- Code Navigator
An internist like Cleanslate Medical Group Of Connecticut Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Addiction Medicine
- Taxonomy Code
- 207RA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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 | 7 | 3 | 0 | 5 | 7 | 0 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 0 | 5 | 14 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 0 + 5 + 1 + 4 + 0 + 1 + 4 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1073057071 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770196180 | ASHAM HAMILTON MS, LPC, NCC Individual | Counselor (Professional) | 85 GILLETT ST HARTFORD, CT 06105 (860) 719-0200 |
| 1093735656 | MS. UMA TRIVEDI PA Individual | Physician Assistant | 85 GILLETT ST HARTFORD, CT 06105 (860) 969-5554 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073057071, enumerated in the NPI registry as an "organization" on December 09, 2016
The provider is located at 85 Gillett St Hartford, Ct 06105 and the phone number is (615) 425-0220
This medical organization specializes in Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine
This NPI record was last updated on December 09, 2016. 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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