SPREAD YOUR WINGS LLC
NPI 1376020313
Clinic/Center - Adult Mental Health in San Jose, CA

NPI Status: Active since July 23, 2018

Contact Information

150 N JACKSON AVE STE 10
SAN JOSE, CA
ZIP 95116
Phone:

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About SPREAD YOUR WINGS LLC

This page provides the complete NPI Profile along with additional information for Spread Your Wings Llc, a provider established in San Jose, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1376020313 assigned on July 2018. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Andrew Serry Dumbuya (Ceo)

NPI
1376020313
Provider Name
SPREAD YOUR WINGS LLC
Entity Type
Organization
Location Address
150 N JACKSON AVE STE 10 SAN JOSE, CA 95116
Location Phone
Mailing Address
96 W 2ND ST MORGAN HILL, CA 95037
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2018
Last Update Date
07-23-2018
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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 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)
1104100000XBehavioral Health & Social Service Providers

Social Worker

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

ANDREW SERRY DUMBUYA

Authorized Official Title
CEO
Authorized Official Phone
(408) 401-2984

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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.
1376020313
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314602032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 0 + 2 + 0 + 3 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1376020313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376020313, enumerated in the NPI registry as an "organization" on July 23, 2018

The provider is located at 150 N Jackson Ave Ste 10 San Jose, Ca 95116 and the phone number is

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 July 23, 2018. 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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