ECLIPSE PSYCHIATRY OUTPATIENT TREATMENT CENTER PLLC
NPI 1114664570
Community/Behavioral Health in Mesa, AZ

NPI Status: Active since May 17, 2022

Contact Information

2152 S VINEYARD STE 113-114
MESA, AZ
ZIP 85210
Phone: (978) 697-0301

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About ECLIPSE PSYCHIATRY OUTPATIENT TREATMENT CENTER PLLC

This page provides the complete NPI Profile along with additional information for Eclipse Psychiatry Outpatient Treatment Center Pllc, a provider established in Mesa, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1114664570 assigned on May 2022. The practitioner's primary taxonomy code is 251S00000X. 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 Anthony Kimani (Owner)

NPI
1114664570
Provider Name
ECLIPSE PSYCHIATRY OUTPATIENT TREATMENT CENTER PLLC
Entity Type
Organization
Location Address
2152 S VINEYARD STE 113-114 MESA, AZ 85210
Location Phone
(978) 697-0301
Mailing Address
2152 S VINEYARD STE 113-114 MESA, AZ 85210
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2022
Last Update Date
05-17-2022
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - Neighborhood Network - HMO
  • Blue StandardHealth Gold - Neighborhood Network - HMO
  • Blue StandardHealth Silver - Neighborhood Network - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ANTHONY KIMANI

Authorized Official Title
OWNER
Authorized Official Phone
(978) 697-0301

Reviews for ECLIPSE PSYCHIATRY OUTPATIENT TREATMENT CENTER PLLC

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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.
1114664570
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241268514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 2 + 6 + 8 + 5 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114664570 is valid because the calculated check digit 0 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
1295370401 ANTHONY WANJOHI KIMANI
Individual
Nurse Practitioner (Psychiatric/Mental Health)2152 S VINEYARD STE 113-114
MESA, AZ 85210
(623) 282-2047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114664570, enumerated in the NPI registry as an "organization" on May 17, 2022

The provider is located at 2152 S Vineyard Ste 113-114 Mesa, Az 85210 and the phone number is (978) 697-0301

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 17, 2022. 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.