BODHI ADDICTION TREATMENT AND WELLNESS
NPI 1174113963
Clinic/Center - Rehabilitation, Substance Use Disorder in Capitola, CA

NPI Status: Active since January 25, 2021

Contact Information

603 CAPITOLA AVE
CAPITOLA, CA
ZIP 95010
Phone: (831) 600-6021

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

About BODHI ADDICTION TREATMENT AND WELLNESS

This page provides the complete NPI Profile along with additional information for Bodhi Addiction Treatment And Wellness, a provider established in Capitola, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1174113963 assigned on January 2021. The practitioner's primary taxonomy code is 261QR0405X. 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 Jonathan Beazley Cadc-cas , Ras Ii (Owner)

NPI
1174113963
Provider Name
BODHI ADDICTION TREATMENT AND WELLNESS
Entity Type
Organization
Location Address
603 CAPITOLA AVE CAPITOLA, CA 95010
Location Phone
(831) 600-6021
Mailing Address
710 BEVERLY AVE CAPITOLA, CA 95010
Mailing Phone
(831) 600-6021
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2021
Last Update Date
01-26-2021
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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

JONATHAN BEAZLEY CADC-CAS , RAS II

Authorized Official Title
OWNER
Authorized Official Phone
(831) 600-6021

Reviews for BODHI ADDICTION TREATMENT AND WELLNESS

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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.
1174113963
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144216912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 2 + 1 + 6 + 9 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1174113963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639227143DR. JOHN CAMARA ANANE-SEFAH M.D.
Individual
Surgery603 CAPITOLA AVE
CAPITOLA, CA 95010
(831) 476-5403
1871641571MID COUNTY SURGICAL MEDICAL GROUP, INC.
Organization
Surgery603 CAPITOLA AVE
CAPITOLA, CA 95010
(831) 476-5403
1033601760 TARIA JOY MAC MILLAN LMFT
Individual
Marriage & Family Therapist603 CAPITOLA AVE
CAPITOLA, CA 95010
(831) 588-1826
1013463579 GAIL LEWIS
Individual
Marriage & Family Therapist603 CAPITOLA AVE
CAPITOLA, CA 95010
(831) 419-5583

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174113963, enumerated in the NPI registry as an "organization" on January 25, 2021

The provider is located at 603 Capitola Ave Capitola, Ca 95010 and the phone number is (831) 600-6021

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 January 25, 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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