MODERN MIND THERAPEUTIC SERVICES LLC
NPI 1114502929
Clinic/Center - Mental Health (Including Community Mental Health Center) in Clifton, NJ
NPI Status: Active since March 12, 2021
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About MODERN MIND THERAPEUTIC SERVICES LLC
This page provides the complete NPI Profile along with additional information for Modern Mind Therapeutic Services Llc, a provider established in Clifton, New Jersey 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 1114502929 assigned on March 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jessica Ayala Lcsw (Therapist/ Owner)
- NPI
- 1114502929
- Provider Name
- MODERN MIND THERAPEUTIC SERVICES LLC
- Entity Type
- Organization
- Location Address
- 49 KULICK ST CLIFTON, NJ 07011
- Location Phone
- (973) 930-9749
- Mailing Address
- 1114 MAIN AVE UNIT 6035 CLIFTON, NJ 07015
- Mailing Phone
- (973) 910-0900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-12-2021
- Last Update Date
- 03-12-2021
- 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 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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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 | 1 | 1 | 4 | 5 | 0 | 2 | 9 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 10 | 0 | 4 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 0 + 0 + 4 + 9 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1114502929 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114502929, enumerated in the NPI registry as an "organization" on March 12, 2021
The provider is located at 49 Kulick St Clifton, Nj 07011 and the phone number is (973) 930-9749
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
This NPI record was last updated on March 12, 2021. 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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