MEDOPTIONS BEHAVIORAL HEALTH ASSOCIATES
NPI 1174727978
Nurse Practitioner in Old Saybrook, CT

NPI Status: Active since June 14, 2007

Contact Information

20 RESEARCH PKWY
OLD SAYBROOK, CT
ZIP 06475
Phone: (860) 510-0888
Fax: (860) 510-0020

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  • Nurse Practitioner

About MEDOPTIONS BEHAVIORAL HEALTH ASSOCIATES

This page provides the complete NPI Profile along with additional information for Medoptions Behavioral Health Associates, a provider established in Old Saybrook, Connecticut operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1174727978 assigned on June 2007. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Medoptions Behavioral Health Associates 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 Kelly Johnson (Credentialing Coordinator)

NPI
1174727978
Provider Name
MEDOPTIONS BEHAVIORAL HEALTH ASSOCIATES
Entity Type
Organization
Location Address
20 RESEARCH PKWY OLD SAYBROOK, CT 06475
Location Phone
(860) 510-0888
Location Fax
(860) 510-0020
Mailing Address
20 RESEARCH PKWY OLD SAYBROOK, CT 06475
Mailing Phone
(860) 510-0888
Mailing Fax
(860) 510-0020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2007
Last Update Date
08-22-2020
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A nurse practitioner (NP) like Medoptions Behavioral Health Associates is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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

KELLY JOHNSON

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(860) 510-0888

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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.
1174727978
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114414214914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 4 + 2 + 1 + 4 + 9 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1174727978 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518963784DR. GARY M FREUDENTHAL PSYD
Individual
Psychologist (Clinical)20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
(800) 370-3651
1619937596 EWA CONROY APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)20 RESEARCH PKWY STE. C
OLD SAYBROOK, CT 06475
(888) 344-4480
1639135833 MARLANA A RUGG PSY D
Individual
Psychologist20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1841240520 NANCY CHERE APRN
Individual
Nurse Practitioner20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1588604060MEDOPTIONS BEHAVIORAL HEALTH ASSOC, LLC
Organization
Nurse Practitioner20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1154361640ADVANCEDCARE OPTIONS LLC
Organization
Nurse Practitioner20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1457426058MR. DAVID FISHER KIMBLE RN CNS
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
(800) 370-3651
1366599771 ADAM JAFFE PHD
Individual
Psychologist20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
(800) 370-3651
1194871665DR. DEBRA ELLEN MASHBERG PH.D.
Individual
Psychologist20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
(800) 370-3651
1407994734 STEPHANIE R SETTEVENDEMIE APRN
Individual
Nurse Practitioner20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
(800) 370-3651
1992845481ADVANCED CARE ASSOCIATES, LLC
Organization
Nurse Practitioner20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1427261627 LORRAINE ZIMMERMAN APRN
Individual
Nurse Practitioner20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
(860) 510-0888
1699970244 LIA A MURPHY P.A.
Individual
Physician Assistant20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
(860) 510-0888
1982898672 RANDI B DIEMAND LCSW
Individual
Social Worker (Clinical)20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1437344520 ALBERTA BACCARI LCSW
Individual
Social Worker (Clinical)20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(860) 510-0888
1891984902 JEAN D CUNNINGHAM LCSW
Individual
Social Worker (Clinical)20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1790974376 MARGARET GARRISON
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1205019148 CLAUDIA TITELMAN PHD
Individual
Psychologist (Clinical)20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651
1972787844 JANE BROCKWAY PA
Individual
Physician Assistant (Medical)20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
(800) 370-3651
1053581736 LARRY WESTON SHOBE LCSW
Individual
Social Worker (Clinical)20 RESEARCH PKWY SUITE C
OLD SAYBROOK, CT 06475
(800) 370-3651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174727978, enumerated in the NPI registry as an "organization" on June 14, 2007

The provider is located at 20 Research Pkwy Old Saybrook, Ct 06475 and the phone number is (860) 510-0888

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

This NPI record was last updated on June 14, 2007. 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.