THOMAS CHISLEY BEHAVIORAL HEALTH SERVICES, LLC
NPI 1316690340
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waldorf, MD

NPI Status: Active since January 31, 2022

Contact Information

3914 NORTHGATE PL
WALDORF, MD
ZIP 20602
Phone: (678) 629-8811

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About THOMAS CHISLEY BEHAVIORAL HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Thomas Chisley Behavioral Health Services, Llc, a provider established in Waldorf, Maryland operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1316690340 assigned on January 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Rachelle Thomas Lcsw-c (Clinical Social Worker)

NPI
1316690340
Provider Name
THOMAS CHISLEY BEHAVIORAL HEALTH SERVICES, LLC
Entity Type
Organization
Location Address
3914 NORTHGATE PL WALDORF, MD 20602
Location Phone
(678) 629-8811
Mailing Address
3914 NORTHGATE PL WALDORF, MD 20602
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2022
Last Update Date
01-31-2022
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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)
1251B00000XAgencies

Case Management

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
4320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

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

RACHELLE THOMAS LCSW-C

Authorized Official Title
CLINICAL SOCIAL WORKER
Authorized Official Phone
(678) 629-8811

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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.
1316690340
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326129038
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 2 + 9 + 0 + 3 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1316690340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659037174MRS. RACHELLE THOMAS LCSW-C
Individual
Social Worker (Clinical)3914 NORTHGATE PL
WALDORF, MD 20602
(301) 818-0915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316690340, enumerated in the NPI registry as an "organization" on January 31, 2022

The provider is located at 3914 Northgate Pl Waldorf, Md 20602 and the phone number is (678) 629-8811

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on January 31, 2022. 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.