MS. CRYSTAL LYNN BUSHONG
NPI 1508049230
Community Based Residential Treatment Facility, Mental Illness in Prescott, AZ

NPI Status: Active since December 17, 2007

Contact Information

2105 DEMERSE AVE
PRESCOTT, AZ
ZIP 86301
Phone: (928) 717-8834

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  • Individual
  • Female
  • Community Based Residential Treatment Fa...

About CRYSTAL BUSHONG

This page provides the complete NPI Profile along with additional information for Crystal Bushong, a provider established in Prescott, Arizona with a medical specialization in Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1508049230 assigned on December 2007. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1508049230
Provider Name
MS. CRYSTAL LYNN BUSHONG
Gender
Female
Entity Type
Individual
Location Address
2105 DEMERSE AVE PRESCOTT, AZ 86301
Location Phone
(928) 717-8834
Mailing Address
2105 DEMERSE AVE PRESCOTT, AZ 86301
Mailing Phone
(928) 717-8834
Is Sole Proprietor?
Yes
Enumeration Date
12-17-2007
Last Update Date
12-17-2007
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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 Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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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.
1508049230
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508041826
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 0 + 4 + 1 + 8 + 2 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1508049230 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376061762BREATH OF LIFE ACUPUNCTURE & WELLNESS PLLC
Organization
Acupuncturist2105 DEMERSE AVE
PRESCOTT, AZ 86301
(928) 713-3833
1487197992 JENNIFER ROSEMAN L.AC.
Individual
Acupuncturist2105 DEMERSE AVE
PRESCOTT, AZ 86301
(928) 713-8333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508049230, enumerated in the NPI registry as an "individual" on December 17, 2007

The provider is located at 2105 Demerse Ave Prescott, Az 86301 and the phone number is (928) 717-8834

The provider's speciality is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on December 17, 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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