CHANGING LIVES ADULT & YOUTH SERVICES
NPI 1609320340
Community/Behavioral Health in Clinton, MD

NPI Status: Active since August 11, 2016

Contact Information

9015 WOODYARD RD STE 109
CLINTON, MD
ZIP 20735
Phone: (240) 244-2924
Fax: (240) 244-5225

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  • Organization
  • Community/Behavioral Health

About CHANGING LIVES ADULT & YOUTH SERVICES

This page provides the complete NPI Profile along with additional information for Changing Lives Adult & Youth Services, a provider established in Clinton, Maryland operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1609320340 assigned on August 2016. The practitioner's primary taxonomy code is 251S00000X with license number 1771 (MD). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Sydney Baskins (Ceo)

NPI
1609320340
Provider Name
CHANGING LIVES ADULT & YOUTH SERVICES
Entity Type
Organization
Location Address
9015 WOODYARD RD STE 109 CLINTON, MD 20735
Location Phone
(240) 244-2924
Location Fax
(240) 244-5225
Mailing Address
9015 WOODYARD RD STE 109 CLINTON, MD 20735
Mailing Phone
(240) 244-2924
Mailing Fax
(240) 244-5225
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2016
Last Update Date
09-10-2019
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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.
1771
License State
MD
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.

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)
1251B00000XAgencies

Case Management

1771 (MD)

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. SYDNEY BASKINS

Authorized Official Title
CEO
Authorized Official Phone
(301) 541-0963

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
1609320340MEDICAID (05)MD 
1902241250MEDICAID (05)MD 

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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.
1609320340
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260962038
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 2 + 0 + 3 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609320340 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780146217 YAZMIN BEEKS LGSW
Individual
Social Worker (Clinical)9015 WOODYARD RD STE 109
CLINTON, MD 20735
(301) 541-0963
1770243503 CAROL OKONKWO
Individual
Counselor (Mental Health)9015 WOODYARD RD STE 109
CLINTON, MD 20735
(240) 244-2924
1891087193 ELAINE MURRY LICSW, LCSW-C
Individual
Social Worker (Clinical)9015 WOODYARD RD STE 109
CLINTON, MD 20735
(240) 513-9001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609320340, enumerated in the NPI registry as an "organization" on August 11, 2016

The provider is located at 9015 Woodyard Rd Ste 109 Clinton, Md 20735 and the phone number is (240) 244-2924

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 August 11, 2016. 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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