CENTER FOR WELLNESS & CHANGE, LLC
NPI 1275885469
Psychiatry & Neurology - Psychiatry in Charlottesville, VA

NPI Status: Active since October 11, 2012

Contact Information

1007 E HIGH ST
CHARLOTTESVILLE, VA
ZIP 22902
Phone: (434) 202-8612
Fax: (434) 321-5181

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • CLIA Number: 49D2049749
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-23-2026

About CENTER FOR WELLNESS & CHANGE, LLC

This page provides the complete NPI Profile along with additional information for Center For Wellness & Change, Llc, a provider established in Charlottesville, Virginia operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1275885469 assigned on October 2012. The practitioner's primary taxonomy code is 2084P0800X with license number 0101244180 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Center For Wellness & Change, Llc 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 Dr. Erik William Gunderson M.d. (President)

NPI
1275885469
Provider Name
CENTER FOR WELLNESS & CHANGE, LLC
Entity Type
Organization
Location Address
1007 E HIGH ST CHARLOTTESVILLE, VA 22902
Location Phone
(434) 202-8612
Location Fax
(434) 321-5181
Mailing Address
1007 E HIGH ST CHARLOTTESVILLE, VA 22902
Mailing Phone
(434) 202-8612
Mailing Fax
(434) 321-5181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2012
Last Update Date
10-11-2012
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A psychiatrist like Center For Wellness & Change, Llc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
0101244180
License State
VA
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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

DR. ERIK WILLIAM GUNDERSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(434) 202-8612

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2049749
Facility Type
Physician Office
Certificate Effective Date
June 24, 2024
Certificate Expiration Date
June 23, 2026
Laboratory Director
ERIK W. GUNDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Center For Wellness & Change, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1275885469
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214516810412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 8 + 1 + 0 + 4 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1275885469 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609847201MS. BERTIE D HEINER LPC
Individual
Counselor (Mental Health)1007 E HIGH ST
CHARLOTTESVILLE, VA 22902
(434) 872-0047
1134354947MRS. CHRISTINA MIKESELL PLATANIA LPC
Individual
Counselor (Professional)1007 E HIGH ST
CHARLOTTESVILLE, VA 22902
(434) 872-0047
1639339476DR. MATTHEW YODER PHD
Individual
Psychologist (Clinical)1007 E HIGH ST
CHARLOTTESVILLE, VA 22902
(843) 324-4925
1124486261 SUSAN DELGOBBO RDN
Individual
Dietitian, Registered1007 E HIGH ST
CHARLOTTESVILLE, VA 22902
(434) 760-1298
1194931808THE WOMEN'S INITIATIVE
Organization
Counselor (Mental Health)1007 E HIGH ST
CHARLOTTESVILLE, VA 22902
(434) 872-0047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275885469, enumerated in the NPI registry as an "organization" on October 11, 2012

The provider is located at 1007 E High St Charlottesville, Va 22902 and the phone number is (434) 202-8612

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider's CLIA number is 49D2049749 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 11, 2012. 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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