AMUDIPES BEHAVIORAL HEALTH
NPI 1720394687
Home Health in Bala Cynwyd, PA
NPI Status: Active since August 29, 2010
Contact Information
111 PRESIDENTIAL BLVD
SUITE 244
BALA CYNWYD, PA
ZIP 19004
Phone: (215) 858-7685
- Organization
- Home Health
- CLIA Number: 39D2106381
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 12-16-2025
About AMUDIPES BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Amudipes Behavioral Health, a provider established in Bala Cynwyd, Pennsylvania operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1720394687 assigned on August 2010. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ellen Amudipe (President)
- NPI
- 1720394687
- Provider Name
- AMUDIPES BEHAVIORAL HEALTH
- Entity Type
- Organization
- Location Address
- 111 PRESIDENTIAL BLVD SUITE 244 BALA CYNWYD, PA 19004
- Location Phone
- (215) 858-7685
- Mailing Address
- 90 NORRISTOWN RD BLUE BELL, PA 19422
- Mailing Phone
- (215) 858-7685
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2010
- Last Update Date
- 01-17-2017
- Code Navigator
Location Map
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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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) |
|---|---|---|---|---|
| 1 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | |
| 2 | 251B00000X | Agencies | Case Management | |
| 3 | 252Y00000X | Agencies | Early Intervention Provider Agency | |
| 4 | 253Z00000X | Agencies | In Home Supportive Care | |
| 5 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 39D2106381
- Facility Type
- Home Health Agency
- Certificate Effective Date
- December 17, 2023
- Certificate Expiration Date
- December 16, 2025
- Laboratory Director
- DR. ELLEN AMUDIPE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Amudipes Behavioral Health 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.
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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. | |||||||||
| 1 | 7 | 2 | 0 | 3 | 9 | 4 | 6 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 6 | 9 | 8 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 6 + 9 + 8 + 6 + 1 + 6 + 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 = 7 | 7 | ||||||||
The NPI number 1720394687 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 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548362478 | CHERYL L SANFACON M.D. Individual | Counselor (Mental Health) | 111 PRESIDENTIAL BLVD SUITE 220 BALA CYNWYD, PA 19004 (610) 667-8960 |
| 1619097581 | RICHARD PHILIP KLUFT M.D. Individual | Psychiatry & Neurology (Psychiatry) | 111 PRESIDENTIAL BLVD SUITE 238 BALA CYNWYD, PA 19004 (610) 667-3250 |
| 1366626723 | MARY LOU SCHACK PH.D. Individual | Psychologist (Clinical) | 111 PRESIDENTIAL BLVD SUITE 237 BALA CYNWYD, PA 19004 (610) 667-8549 |
| 1609035260 | DR. AMY MACINTYRE MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 111 PRESIDENTIAL BLVD SUITE 232 BALA CYNWYD, PA 19004 (610) 667-1781 |
| 1346575487 | MS. ARLENE P JONES TIPPETT MSW Individual | Social Worker (Clinical) | 111 PRESIDENTIAL BLVD SUITE 237 BALA CYNWYD, PA 19004 (610) 844-4782 |
| 1912209453 | STRONGER THAN EVER Organization | Social Worker (Clinical) | 111 PRESIDENTIAL BLVD SUITE 237 BALA CYNWYD, PA 19004 (610) 844-4782 |
| 1871949719 | BRIAN GALLAGHER PSY.D. LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 111 PRESIDENTIAL BLVD SUITE 237 BALA CYNWYD, PA 19004 (267) 847-9560 |
| 1699914150 | MEDTRONIC MONITORING, INC Organization | Clinic/Center | 111 PRESIDENTIAL BLVD 102 BALA CYNWYD, PA 19004 (610) 257-6300 |
| 1285167254 | CRAIG ROSS DO Individual | Family Medicine | 111 PRESIDENTIAL BLVD SUITE 127 BALA CYNWYD, PA 19004 (484) 438-5495 |
| 1396251906 | DENISE RAY Individual | Social Worker (Clinical) | 111 PRESIDENTIAL BLVD EAST LOBBY SUITE 237 BALA CYNWYD, PA 19004 (610) 772-3939 |
| 1710117171 | MS. DENA DANDRIDGE LCSW Individual | Social Worker (Clinical) | 111 PRESIDENTIAL BLVD SUITE 237 BALA CYNWYD, PA 19004 (610) 844-4782 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720394687, enumerated in the NPI registry as an "organization" on August 29, 2010
The provider is located at 111 Presidential Blvd Suite 244 Bala Cynwyd, Pa 19004 and the phone number is (215) 858-7685
This medical organization specializes in Home Health with taxonomy code 251E00000X
The provider's CLIA number is 39D2106381 for a "home health agency" 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 August 29, 2010. 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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