PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
NPI 1306653613
Clinic/Center - Adult Mental Health in Maywood, IL
NPI Status: Active since December 11, 2024
Contact Information
411 MADISON ST
MAYWOOD, IL
ZIP 60153
Phone: (708) 450-3500
Fax: (708) 236-5184
- Organization
- Clinic/Center
- Adult Mental Health
About PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
This page provides the complete NPI Profile along with additional information for Proviso-leyden Council For Community Action Inc, a provider established in Maywood, Illinois operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1306653613 assigned on December 2024. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Rita Jean Mcconville Cpa (Chief Financial Officer)
- NPI
- 1306653613
- Provider Name
- PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
- Entity Type
- Organization
- Location Address
- 411 MADISON ST MAYWOOD, IL 60153
- Location Phone
- (708) 450-3500
- Location Fax
- (708) 236-5184
- Mailing Address
- 411 MADISON ST MAYWOOD, IL 60153
- Mailing Phone
- (708) 450-3500
- Mailing Fax
- (708) 236-5184
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-11-2024
- Last Update Date
- 01-17-2025
- Code Navigator
Location Map
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 Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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) |
|---|---|---|---|---|
| 1 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/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. | |||||||||
| 1 | 3 | 0 | 6 | 6 | 5 | 3 | 6 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 12 | 5 | 6 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 1 + 2 + 5 + 6 + 6 + 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 = 3 | 3 | ||||||||
The NPI number 1306653613 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 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457539223 | PLCCA,INC. Organization | Community/Behavioral Health | 411 MADISON ST MAYWOOD, IL 60153 (708) 450-3500 |
| 1962781971 | PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION Organization | Community/Behavioral Health | 411 MADISON ST MAYWOOD, IL 60153 (708) 450-3500 |
| 1134561988 | PLCCA, INC. Organization | Contractor | 411 MADISON ST MAYWOOD, IL 60153 (708) 236-5038 |
| 1336724814 | MR. ANTONY D GREENHOW MS, LPC, NCC Individual | Counselor | 411 MADISON ST MAYWOOD, IL 60153 (708) 450-3500 |
| 1881332955 | MR. FREDERICK JEFFERSON LPC Individual | Counselor (Mental Health) | 411 MADISON ST MAYWOOD, IL 60153 (708) 450-3500 |
| 1467172965 | MS. JANET TAPIA LICENSE SOCIAL WORK Individual | Counselor (Mental Health) | 411 MADISON ST MAYWOOD, IL 60153 (708) 450-3500 |
| 1033981089 | JAKE CLIFTON KELOW III LSW/CADC/ATE/COPD I Individual | Social Worker | 411 MADISON ST MAYWOOD, IL 60153 (708) 450-3500 |
| 1487426433 | MS. MINDY ANN HERMANN I MSW LSW Individual | Social Worker | 411 MADISON ST MAYWOOD, IL 60153 (773) 450-3500 |
| 1134553076 | PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC Organization | Clinic/Center (Methadone) | 411 MADISON ST MAYWOOD, IL 60153 (708) 236-5042 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306653613, enumerated in the NPI registry as an "organization" on December 11, 2024
The provider is located at 411 Madison St Maywood, Il 60153 and the phone number is (708) 450-3500
This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health
This NPI record was last updated on December 11, 2024. 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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