SPIRIT-MIND-BODY OUTPATIENT TREATMENT CENTER
NPI 1740931625
Clinic/Center - Mental Health (Including Community Mental Health Center) in Avondale, AZ
NPI Status: Active since January 12, 2022
Contact Information
9950 W VAN BUREN ST STE 115
AVONDALE, AZ
ZIP 85323
Phone: (623) 218-6691
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 03D2273742
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 12-18-2026
About SPIRIT-MIND-BODY OUTPATIENT TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Spirit-mind-body Outpatient Treatment Center, a provider established in Avondale, Arizona 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 1740931625 assigned on January 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Spirit-mind-body Outpatient Treatment Center. The authorized official of this NPI record is Ezinne Iroku Np (Ceo)
- NPI
- 1740931625
- Provider Legal Name
- SPIRIT-MIND-BODY HEALTHCARE PLLC
- Other Organization Name
- SPIRIT-MIND-BODY OUTPATIENT TREATMENT CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 9950 W VAN BUREN ST STE 115 AVONDALE, AZ 85323
- Location Phone
- (623) 218-6691
- Mailing Address
- 8017 W ALBENIZ PL PHOENIX, AZ 85043
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-12-2022
- Last Update Date
- 01-12-2023
- 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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 4 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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
- 03D2273742
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- December 19, 2024
- Certificate Expiration Date
- December 18, 2026
- Laboratory Director
- EZINNE I. IROKU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spirit-mind-body Outpatient Treatment Center 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 | 4 | 0 | 9 | 3 | 1 | 6 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 18 | 3 | 2 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 8 + 3 + 2 + 6 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1740931625 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1588154819 | EZINNE IROKU Individual | Nurse Practitioner (Psychiatric/Mental Health) | 9950 W VAN BUREN ST STE 115 AVONDALE, AZ 85323 (623) 218-6691 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740931625, enumerated in the NPI registry as an "organization" on January 12, 2022
The provider is located at 9950 W Van Buren St Ste 115 Avondale, Az 85323 and the phone number is (623) 218-6691
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider's CLIA number is 03D2273742 for a "comp. outpatient rehab facility" 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 January 12, 2022. 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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