MCINTOSH TRAIL CSB
NPI 1649495268
Clinic/Center - Mental Health (Including Community Mental Health Center) in Griffin, GA

NPI Status: Active since April 17, 2007

Contact Information

136 N HILL ST
GRIFFIN, GA
ZIP 30223
Phone: (770) 358-8470

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About MCINTOSH TRAIL CSB

This page provides the complete NPI Profile along with additional information for Mcintosh Trail Csb, a provider established in Griffin, Georgia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1649495268 assigned on April 2007. The practitioner's primary taxonomy code is 261QM0801X with license number 000427 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Linda P. Robinson Lcsw, Mac, Ccs (Addictive Disease Coordinator)

NPI
1649495268
Provider Name
MCINTOSH TRAIL CSB
Entity Type
Organization
Location Address
136 N HILL ST GRIFFIN, GA 30223
Location Phone
(770) 358-8470
Mailing Address
1436 CATHERINE ST DECATUR, GA 30030
Mailing Phone
(404) 377-0541
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
07-07-2008
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
000427
License State
GA

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

MS. LINDA P. ROBINSON LCSW, MAC, CCS

Authorized Official Title
ADDICTIVE DISEASE COORDINATOR
Authorized Official Phone
(770) 358-8470

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
1000OTHER (01)GACERTIFIEDADDICTIONCOUN II
000427OTHER (01)GALIC.CLINICALSOCIALWORKER

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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.
1649495268
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26898910212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 8 + 9 + 1 + 0 + 2 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1649495268 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457477366 MARY LYNN MCDANIEL L.C.S.W
Individual
Social Worker (Clinical)136 N HILL ST
GRIFFIN, GA 30223
(770) 358-8287
1831318484MRS. MARTHA L DENNIS RNBSN
Individual
Registered Nurse (Psychiatric/Mental Health)136 N HILL ST
GRIFFIN, GA 30223
(770) 229-3060
1477721041MCINTOSH TRAIL CSB
Organization
Community/Behavioral Health136 N HILL ST
GRIFFIN, GA 30223
(770) 229-3072
1821266495MCINTOSH TRAIL CSB
Organization
Community/Behavioral Health136 N HILL ST
GRIFFIN, GA 30223
(770) 229-3124
1730357302MCINTOSH TRAIL CSB
Organization
Community/Behavioral Health136 N HILL ST
GRIFFIN, GA 30223
(770) 229-3124
1720256399MCINTOSH TRAIL CSB
Organization
Community/Behavioral Health136 N HILL ST
GRIFFIN, GA 30223
(770) 229-3124
1639329659MS. ROYA MARIE FADINA RN
Individual
Registered Nurse136 N HILL ST
GRIFFIN, GA 30223
(770) 358-5252
1396986592MRS. CHRISTIE SHANN HORNE L.P.N
Individual
Licensed Practical Nurse136 N HILL ST
GRIFFIN, GA 30223
(770) 358-8577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649495268, enumerated in the NPI registry as an "organization" on April 17, 2007

The provider is located at 136 N Hill St Griffin, Ga 30223 and the phone number is (770) 358-8470

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

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 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.