DRAGFONFLY WELLNESS CENTER
NPI 1134689730
Clinic/Center - Rehabilitation, Substance Use Disorder in Johnson City, TN

NPI Status: Active since March 21, 2019

Contact Information

102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 588-9978
Fax: (423) 722-3401

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About DRAGFONFLY WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Dragfonfly Wellness Center, a provider established in Johnson City, Tennessee operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1134689730 assigned on March 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Matthew Caffrey Md (Medical Director)

NPI
1134689730
Provider Name
DRAGFONFLY WELLNESS CENTER
Entity Type
Organization
Location Address
102 N BROADWAY ST JOHNSON CITY, TN 37601
Location Phone
(423) 588-9978
Location Fax
(423) 722-3401
Mailing Address
216 QUAIL RUN CT JOHNSON CITY, TN 37601
Mailing Phone
(423) 525-7488
Mailing Fax
(423) 722-3401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2019
Last Update Date
03-21-2019
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

DR. MATTHEW CAFFREY MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(423) 525-7488

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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.
1134689730
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641281876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 2 + 8 + 1 + 8 + 7 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134689730 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 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972734309DR. ALICIA MERIE CAFFREY
Individual
Psychologist (Clinical)102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1215690441MS. MARNICHELLE KY BONOCAN CLAMOHOY RN
Individual
Registered Nurse102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1063155364 AUTUM WADE
Individual
Peer Specialist102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9988
1689381691 MICHAEL ZACHARY BROWN LPN
Individual
Licensed Practical Nurse102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1124726583MRS. KRYSTAL STARR MERZ LPN
Individual
Licensed Practical Nurse102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1336330596DR. MATTHEW JOHN CAFFREY MD/MPH
Individual
Family Medicine (Addiction Medicine)102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1225716343 LINDSAY HOPE SMITH
Individual
Social Worker (Clinical)102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1245017235 JACOB ELIZABETH PHILLIPS BSW
Individual
Social Worker102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1972382760 REBECCA FRAZIER LMSW
Individual
Social Worker102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1033947759 AUDRA OWENS LPN
Individual
Licensed Practical Nurse102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1376299685 KARA LOVEN KEENE PA-C
Individual
Physician Assistant102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1689490187MRS. CATHERINE JEAN PIERCE RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978
1689134231DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION
Organization
Family Medicine (Addiction Medicine)102 N BROADWAY ST
JOHNSON CITY, TN 37601
(423) 588-9978

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134689730, enumerated in the NPI registry as an "organization" on March 21, 2019

The provider is located at 102 N Broadway St Johnson City, Tn 37601 and the phone number is (423) 588-9978

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on March 21, 2019. 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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