AWAKENINGS, PA
NPI 1639395197
Community/Behavioral Health in Gulfport, MS

NPI Status: Active since April 17, 2007

Contact Information

12231 ASHLEY DR
SUITE C
GULFPORT, MS
ZIP 39503
Phone: (228) 831-9400
Fax: (228) 831-9600

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  • Organization
  • Community/Behavioral Health

About AWAKENINGS, PA

This page provides the complete NPI Profile along with additional information for Awakenings, Pa, a provider established in Gulfport, Mississippi operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1639395197 assigned on April 2007. The practitioner's primary taxonomy code is 251S00000X with license number 13805 (MS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Anthony J Stock Md (Owner)

NPI
1639395197
Provider Name
AWAKENINGS, PA
Entity Type
Organization
Location Address
12231 ASHLEY DR SUITE C GULFPORT, MS 39503
Location Phone
(228) 831-9400
Location Fax
(228) 831-9600
Mailing Address
12231 ASHLEY DR SUITE C GULFPORT, MS 39503
Mailing Phone
(228) 831-9400
Mailing Fax
(228) 831-9600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
08-22-2020
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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.
13805
License State
MS
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

MR. ANTHONY J STOCK MD

Authorized Official Title
OWNER
Authorized Official Phone
(228) 831-9400

Reviews for AWAKENINGS, PA

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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.
1639395197
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26696910118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 9 + 1 + 0 + 1 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639395197 is valid because the calculated check digit 7 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
1831294313MRS. DESSIE ELIZABETH FAULKNER LMFT
Individual
Marriage & Family Therapist12231 ASHLEY DR SUITE C
GULFPORT, MS 39503
(228) 831-9400
1134224603MS. DIANE M MCLAUGHLIN LMSW
Individual
Social Worker (Clinical)12231 ASHLEY DR SUITE C
GULFPORT, MS 39503
(228) 831-9400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639395197, enumerated in the NPI registry as an "organization" on April 17, 2007

The provider is located at 12231 Ashley Dr Suite C Gulfport, Ms 39503 and the phone number is (228) 831-9400

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

This NPI record was last updated on April 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].
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.