SHRINK SAVANNAH
NPI 1659731826
Clinic/Center - Adult Mental Health in Savannah, GA

NPI Status: Active since March 02, 2016

Contact Information

1601 ABERCORN ST
SAVANNAH, GA
ZIP 31401
Phone: (912) 712-2550
Fax: (912) 480-0518

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • CLIA Number: 11D2109916
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-03-2026

About SHRINK SAVANNAH

This page provides the complete NPI Profile along with additional information for Shrink Savannah, a provider established in Savannah, Georgia operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1659731826 assigned on March 2016. The practitioner's primary taxonomy code is 261QM0850X. 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 Chad Brock M.d. (Owner)

NPI
1659731826
Provider Name
SHRINK SAVANNAH
Entity Type
Organization
Location Address
1601 ABERCORN ST SAVANNAH, GA 31401
Location Phone
(912) 712-2550
Location Fax
(912) 480-0518
Mailing Address
1601 ABERCORN ST SAVANNAH, GA 31401
Mailing Phone
(912) 712-2550
Mailing Fax
(912) 480-0518
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2016
Last Update Date
07-30-2019
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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

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

CHAD BROCK M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(912) 712-2550

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2109916
Facility Type
Physician Office
Certificate Effective Date
March 04, 2024
Certificate Expiration Date
March 03, 2026
Laboratory Director
CHAD BROCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shrink Savannah to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SHRINK SAVANNAH

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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.
1659731826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26109143284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 4 + 3 + 2 + 8 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1659731826 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861541435 JO ANNE ALGER MITCHELL M.ED.,LPC
Individual
Counselor (Professional)1601 ABERCORN ST
SAVANNAH, GA 31401
(912) 234-3788
1205977212MS. JANICE E MICHAELS LPC,RPT
Individual
Counselor (Professional)1601 ABERCORN ST
SAVANNAH, GA 31401
(912) 398-4039
1588691794 CHAD BROCK MD
Individual
Psychiatry & Neurology (Psychiatry)1601 ABERCORN ST
SAVANNAH, GA 31401
(912) 712-2550
1174046635 LYDIA STEARNS PA-C
Individual
Physician Assistant1601 ABERCORN ST
SAVANNAH, GA 31401
(912) 712-2550
1477902377 KRISTY JOANNE GIERKE PA-C
Individual
Physician Assistant (Medical)1601 ABERCORN ST
SAVANNAH, GA 31401
(912) 712-2550
1780311993MS. ANNA CHRISTIANSEN HILLIARD PA-C
Individual
Physician Assistant1601 ABERCORN ST
SAVANNAH, GA 31401
(912) 712-2550
1013382969 HEATHER MARIE MELL FNP-C
Individual
Nurse Practitioner (Family)1601 ABERCORN ST
SAVANNAH, GA 31401
(912) 712-2550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659731826, enumerated in the NPI registry as an "organization" on March 02, 2016

The provider is located at 1601 Abercorn St Savannah, Ga 31401 and the phone number is (912) 712-2550

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

The provider's CLIA number is 11D2109916 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 02, 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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