BIRCH TRAIL, LLC
NPI 1639797483
Clinic/Center - Adult Mental Health in Las Vegas, NM

NPI Status: Active since July 08, 2020

Contact Information

210 PLAZA ST
LAS VEGAS, NM
ZIP 87701
Phone: (505) 426-7052

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About BIRCH TRAIL, LLC

This page provides the complete NPI Profile along with additional information for Birch Trail, Llc, a provider established in Las Vegas, New Mexico operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1639797483 assigned on July 2020. The practitioner's primary taxonomy code is 261QM0850X. 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 Melissa Williamson Lcsw (Owner)

NPI
1639797483
Provider Name
BIRCH TRAIL, LLC
Entity Type
Organization
Location Address
210 PLAZA ST LAS VEGAS, NM 87701
Location Phone
(505) 426-7052
Mailing Address
600 WASHINGTON ST LAS VEGAS, NM 87701
Mailing Phone
(505) 718-2472
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2020
Last Update Date
08-01-2020
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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

MELISSA WILLIAMSON LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(505) 718-2472

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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.
1639797483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266914914416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 9 + 1 + 4 + 4 + 1 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1639797483 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
1184176349 MELISSA ANN WILLIAMSON LCSW
Individual
Social Worker210 PLAZA ST
LAS VEGAS, NM 87701
(505) 505-7052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639797483, enumerated in the NPI registry as an "organization" on July 08, 2020

The provider is located at 210 Plaza St Las Vegas, Nm 87701 and the phone number is (505) 426-7052

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on July 08, 2020. 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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