MEM SCEPTER HOME & BEHAVIORAL HEALTH CARE LLC
NPI 1407462559
Nurse Practitioner - Psychiatric/Mental Health in Leonardtown, MD
NPI Status: Active since September 23, 2020
Contact Information
25484 POINT LOOKOUT RD STE 301A
LEONARDTOWN, MD
ZIP 20650
Phone: (240) 309-4111
Fax: (240) 309-4095
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- CLIA Number: 21D2212389
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 02-03-2027
About MEM SCEPTER HOME & BEHAVIORAL HEALTH CARE LLC
This page provides the complete NPI Profile along with additional information for Mem Scepter Home & Behavioral Health Care Llc, a provider established in Leonardtown, Maryland operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1407462559 assigned on September 2020. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mem Scepter Home & Behavioral Health Care Llc. The authorized official of this NPI record is Modupe O Adenekan Pmhnp (President)
- NPI
- 1407462559
- Provider Legal Name
- MEM SCEPTER HOME & BEHAVIORAL
- Other Organization Name
- MEM SCEPTER HOME & BEHAVIORAL HEALTH CARE LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 25484 POINT LOOKOUT RD STE 301A LEONARDTOWN, MD 20650
- Location Phone
- (240) 309-4111
- Location Fax
- (240) 309-4095
- Mailing Address
- 14104 DAWN WHISTLE WAY BOWIE, MD 20721
- Mailing Phone
- (202) 449-0001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-23-2020
- Last Update Date
- 06-28-2023
- Code Navigator
A nurse practitioner (NP) like Mem Scepter Home & Behavioral Health Care Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 21D2212389
- Facility Type
- Practitioner Other
- Certificate Effective Date
- February 04, 2025
- Certificate Expiration Date
- February 03, 2027
- Laboratory Director
- MODUPE O. ADENEKAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mem Scepter Home & Behavioral Health Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 4 | 0 | 7 | 4 | 6 | 2 | 5 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 8 | 6 | 4 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 8 + 6 + 4 + 5 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1407462559 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598442998 | MEM SCEPTER HOME & BEHAVIORAL Organization | Clinic/Center (Rehabilitation) | 25484 POINT LOOKOUT RD STE 301A LEONARDTOWN, MD 20650 (240) 309-4111 |
| 1861179269 | MEM SCEPTER HOME & BEHAVIORAL Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 25484 POINT LOOKOUT RD STE 301A LEONARDTOWN, MD 20650 (240) 309-4111 |
| 1326726787 | MEM SCEPTER HOME & BEHAVIORAL Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 25484 POINT LOOKOUT RD STE 301A LEONARDTOWN, MD 20650 (240) 309-4111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407462559, enumerated in the NPI registry as an "organization" on September 23, 2020
The provider is located at 25484 Point Lookout Rd Ste 301a Leonardtown, Md 20650 and the phone number is (240) 309-4111
This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider's CLIA number is 21D2212389 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 23, 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].
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