CHRYSALIS FOUNDATION FOR MENTAL HEALTH, INC
NPI 1487796116
Community/Behavioral Health in Roxboro, NC

NPI Status: Active since February 12, 2007

Contact Information

211 WEBB ST
ROXBORO, NC
ZIP 27573
Phone: (336) 599-6030

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  • Organization
  • Community/Behavioral Health

About CHRYSALIS FOUNDATION FOR MENTAL HEALTH, INC

This page provides the complete NPI Profile along with additional information for Chrysalis Foundation For Mental Health, Inc, a provider established in Roxboro, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1487796116 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X with license number MHL-073-031 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Jefferson Douglas Parker (Acting Executive Director)

NPI
1487796116
Provider Name
CHRYSALIS FOUNDATION FOR MENTAL HEALTH, INC
Entity Type
Organization
Location Address
211 WEBB ST ROXBORO, NC 27573
Location Phone
(336) 599-6030
Mailing Address
101 E WEAVER ST SUITE G-7 CARRBORO, NC 27510
Mailing Phone
(919) 933-0770
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2007
Last Update Date
07-17-2007
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
MHL-073-031
License State
NC
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. JEFFERSON DOUGLAS PARKER

Authorized Official Title
ACTING EXECUTIVE DIRECTOR
Authorized Official Phone
(919) 933-0828

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8301148MEDICAID (05)NC 
8301148SMEDICAID (05)NC 

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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.
1487796116
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671491212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 9 + 1 + 2 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1487796116 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205075850THERAPEUTIC ALTERNATIVES, INC.
Organization
Community/Behavioral Health211 WEBB ST
ROXBORO, NC 27573
(336) 599-6030
1134787591DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health211 WEBB ST
ROXBORO, NC 27573
(704) 939-1133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487796116, enumerated in the NPI registry as an "organization" on February 12, 2007

The provider is located at 211 Webb St Roxboro, Nc 27573 and the phone number is (336) 599-6030

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 12, 2007. 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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