CENTER FOR MIND AND BODY HEALTH
NPI 1316470503
Psychologist - Health in Charlottesville, VA
NPI Status: Active since April 05, 2017
Contact Information
408 E MARKET ST
SUITE 201-B
CHARLOTTESVILLE, VA
ZIP 22902
Phone: (434) 566-0846
Fax: (434) 202-5441
- Organization
- Psychologist
- Health
- CLIA Number: 49D2153581
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-27-2026
About CENTER FOR MIND AND BODY HEALTH
This page provides the complete NPI Profile along with additional information for Center For Mind And Body Health, a provider established in Charlottesville, Virginia operating as a Psychologist, focusing in health . The healthcare provider is registered in the NPI registry with number 1316470503 assigned on April 2017. The practitioner's primary taxonomy code is 103TH0004X with license number 0810005495 (VA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Center For Mind And Body Health 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. Vivian Marie Rodriguez Archilla Phd, Lcp (Director, Clinical Psychologist)
- NPI
- 1316470503
- Provider Name
- CENTER FOR MIND AND BODY HEALTH
- Entity Type
- Organization
- Location Address
- 408 E MARKET ST SUITE 201-B CHARLOTTESVILLE, VA 22902
- Location Phone
- (434) 566-0846
- Location Fax
- (434) 202-5441
- Mailing Address
- 2174 WHISPERING HOLLOW LN CHARLOTTESVILLE, VA 22911
- Mailing Phone
- (434) 566-0846
- Mailing Fax
- (434) 202-5441
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2017
- Last Update Date
- 04-05-2017
- 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
Psychologist Health
- Taxonomy Code
- 103TH0004X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0810005495
- License State
- VA
- Taxonomy Description
- A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
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 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | 0810005495 (VA) |
| 2 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 0810005495 (VA) |
| 3 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 0810005495 (VA) |
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.
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
- 49D2153581
- Facility Type
- Physician Office
- Certificate Effective Date
- August 28, 2024
- Certificate Expiration Date
- August 27, 2026
- Laboratory Director
- KENNETH IAN BARRON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Center For Mind And Body Health 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.
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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 | 1 | 6 | 4 | 7 | 0 | 5 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 8 | 7 | 0 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 8 + 7 + 0 + 5 + 0 + 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 1316470503 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780668616 | DR. BENEGAL SPENCER PAIGE SR. DDS Individual | Dentist | 408 E MARKET ST STE 206 CHARLOTTESVILLE, VA 22902 (434) 977-1206 |
| 1790739001 | DR. FRANKLIN A. CERRONE O.D. Individual | Optometrist (Corneal and Contact Management) | 408 E MARKET ST SUITE 105 CHARLOTTESVILLE, VA 22902 (434) 293-2048 |
| 1699035857 | MS. CHRISTY PAGELS LPC, ATR-BC Individual | Counselor (Professional) | 408 E MARKET ST SUITE 201B #3 CHARLOTTESVILLE, VA 22902 (434) 227-6792 |
| 1427430313 | THE EPIPHANY CENTER Organization | Counselor (Professional) | 408 E MARKET ST SUITE 201B #2 CHARLOTTESVILLE, VA 22902 (404) 579-9763 |
| 1851733927 | ALLISON BROOKE KEISLER SPLAUN PHD Individual | Psychologist | 408 E MARKET ST SUITE 201B #1 CHARLOTTESVILLE, VA 22902 (434) 989-9240 |
| 1154540805 | FRANKLIN A CERRONE, OD Organization | Optometrist (Corneal and Contact Management) | 408 E MARKET ST SUITE 105 CHARLOTTESVILLE, VA 22902 (434) 293-2048 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316470503, enumerated in the NPI registry as an "organization" on April 05, 2017
The provider is located at 408 E Market St Suite 201-b Charlottesville, Va 22902 and the phone number is (434) 566-0846
This medical organization specializes in Psychologist with taxonomy code 103TH0004X with a focus in Health
The provider's CLIA number is 49D2153581 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 April 05, 2017. 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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