WAVELENGTHS RECOVERY
NPI 1174146658
Clinic/Center - Rehabilitation, Substance Use Disorder in Petaluma, CA

NPI Status: Active since May 19, 2020

Contact Information

6 PETALUMA BLVD N STE A7
PETALUMA, CA
ZIP 94952
Phone: (714) 312-1011

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

About WAVELENGTHS RECOVERY

This page provides the complete NPI Profile along with additional information for Wavelengths Recovery, a provider established in Petaluma, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1174146658 assigned on May 2020. 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. Wavelengths Recovery 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 Warren Boyd (Ceo)

NPI
1174146658
Provider Name
WAVELENGTHS RECOVERY
Entity Type
Organization
Location Address
6 PETALUMA BLVD N STE A7 PETALUMA, CA 94952
Location Phone
(714) 312-1011
Mailing Address
301 MAIN ST STE 201 HUNTINGTON BEACH, CA 92648
Mailing Phone
(714) 312-1011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2020
Last Update Date
05-19-2020
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Location Map

Secondary Locations

  • 6 Petaluma Blvd N Ste A8
    Petaluma, CA 94952
    (714) 312-1011

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

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
3101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
4103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 
5103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 
6225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Rehabilitation Counselor

 
7261QR0401XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

 

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.

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

WARREN BOYD

Authorized Official Title
CEO
Authorized Official Phone
(714) 642-2404

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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.
1174146658
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211442412610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 2 + 4 + 1 + 2 + 6 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1174146658 is valid because the calculated check digit 8 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
1720845936ALCHEMY WELLNESS STUDIOS LLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)6 PETALUMA BLVD N STE A7
PETALUMA, CA 94952
(949) 275-8332

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174146658, enumerated in the NPI registry as an "organization" on May 19, 2020

The provider is located at 6 Petaluma Blvd N Ste A7 Petaluma, Ca 94952 and the phone number is (714) 312-1011

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 May 19, 2020. 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.