EMERGENT MENTAL HEALTH SERVICES LLC
NPI 1568177483
Community/Behavioral Health in Surprise, AZ

NPI Status: Active since January 16, 2023

Contact Information

17404 N JAVELINA DR
SURPRISE, AZ
ZIP 85374
Phone: (623) 278-4610

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  • Organization
  • Community/Behavioral Health

About EMERGENT MENTAL HEALTH SERVICES LLC

This page provides the complete NPI Profile along with additional information for Emergent Mental Health Services Llc, a provider established in Surprise, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1568177483 assigned on January 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Carrie Mardula Lpc-20609 (Owner)

NPI
1568177483
Provider Name
EMERGENT MENTAL HEALTH SERVICES LLC
Entity Type
Organization
Location Address
17404 N JAVELINA DR SURPRISE, AZ 85374
Location Phone
(623) 278-4610
Mailing Address
17404 N JAVELINA DR SURPRISE, AZ 85374
Mailing Phone
(623) 278-4610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2023
Last Update Date
01-26-2024
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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
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.

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

CARRIE MARDULA LPC-20609

Authorized Official Title
OWNER
Authorized Official Phone
(623) 278-4610

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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.
1568177483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251282714416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 2 + 7 + 1 + 4 + 4 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1568177483 is valid because the calculated check digit 3 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
1164177739 CARRIE MARDULA LPC
Individual
Counselor (Professional)17404 N JAVELINA DR
SURPRISE, AZ 85374
(623) 606-7994

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568177483, enumerated in the NPI registry as an "organization" on January 16, 2023

The provider is located at 17404 N Javelina Dr Surprise, Az 85374 and the phone number is (623) 278-4610

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

This NPI record was last updated on January 16, 2023. 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.