CHESAPEAKE WELLNESS CENTER
NPI 1285221093
Family Medicine - Addiction Medicine in Chestertown, MD

NPI Status: Active since December 28, 2020

Contact Information

818 HIGH ST
CHESTERTOWN, MD
ZIP 21620
Phone: (410) 275-8156
Fax: (877) 433-6830

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  • Organization
  • Family Medicine
  • Addiction Medicine
  • CLIA Number: 21D2169810
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-28-2025

About CHESAPEAKE WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Chesapeake Wellness Center, a provider established in Chestertown, Maryland operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1285221093 assigned on December 2020. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Chesapeake Wellness Center 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 Jane E Hyskell (Credentialing Agent)

NPI
1285221093
Provider Name
CHESAPEAKE WELLNESS CENTER
Entity Type
Organization
Location Address
818 HIGH ST CHESTERTOWN, MD 21620
Location Phone
(410) 275-8156
Location Fax
(877) 433-6830
Mailing Address
PO BOX 669 CECILTON, MD 21913
Mailing Phone
(410) 275-8156
Mailing Fax
(877) 433-6830
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-28-2020
Last Update Date
02-05-2021
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JANE E HYSKELL

Authorized Official Title
CREDENTIALING AGENT
Authorized Official Phone
(814) 938-8263

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
627009300MEDICAID (05)MD 

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
21D2169810
Facility Type
Physician Office
Certificate Effective Date
July 29, 2023
Certificate Expiration Date
July 28, 2025
Laboratory Director
PAUL KATZ
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Chesapeake Wellness Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for CHESAPEAKE WELLNESS CENTER

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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.
1285221093
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165422018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 4 + 2 + 2 + 0 + 1 + 8 + 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 1285221093 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215012513MRS. JULIA H. BAINBRIDGE P.T.
Individual
Physical Therapist818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1154406304 JANE L. SHERIN P.T.
Individual
Physical Therapist818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1366527434 LAURA BARRY C.O.T.A.
Individual
Occupational Therapy Assistant818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1306992706 MARY DRAPER P.T.A.
Individual
Physical Therapy Assistant818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1174679658 KATHLEEN E. NAUMANN P.T.A.
Individual
Physical Therapy Assistant818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1306992821 ALLISON NICOLE CLARK P.T.A.
Individual
Physical Therapy Assistant818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1699821090 ALAKA BHATT-PATEL O.T.
Individual
Occupational Therapist818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1437205945 JACQUELINE A. MATHWICH P.T.
Individual
Physical Therapist818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1346386273 STEPHANIE DUKE O.T.
Individual
Occupational Therapist818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1992841787 MELISSA RHODE LITTON P.T.A.
Individual
Physical Therapy Assistant818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1982735304DR. JANET SLATER BRANDON PHD
Individual
Psychologist818 HIGH ST
CHESTERTOWN, MD 21620
(410) 778-5550
1790944262 SARAH E. BOULDEN P.T.A.
Individual
Physical Therapy Assistant818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1447410758 LANAE ELIZABETH KING OT
Individual
Occupational Therapist818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1053545210MRS. MARGARET AGNES COOPER ROBINSON LCSW-C
Individual
Social Worker (Clinical)818 HIGH ST SUITE 5
CHESTERTOWN, MD 21620
(410) 778-5550
1891926994HEARING CENTER OF CHESTERTOWN, LLC
Organization
Audiologist-Hearing Aid Fitter818 HIGH ST SUITE 3
CHESTERTOWN, MD 21620
(410) 778-5170
1952632853 STACIE L GLOVER M.S., CCC-A
Individual
Audiologist818 HIGH ST
CHESTERTOWN, MD 21620
(410) 778-5170
1548577786 COURTNEY M BAUER P.T.
Individual
Physical Therapist818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1669869046 ANDREA NORMAN PTA
Individual
Physical Therapy Assistant818 HIGH ST SUITE 1
CHESTERTOWN, MD 21620
(410) 778-6565
1649642661 LEONA DALTON
Individual
Physical Therapy Assistant818 HIGH ST
CHESTERTOWN, MD 21620
(410) 778-6565
1265548085DR. RICHARD GREGORY WIRTZ PSY.D.
Individual
Psychologist (Clinical)818 HIGH ST SUITE 5
CHESTERTOWN, MD 21620
(410) 778-5550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285221093, enumerated in the NPI registry as an "organization" on December 28, 2020

The provider is located at 818 High St Chestertown, Md 21620 and the phone number is (410) 275-8156

This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 21D2169810 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on December 28, 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.