NORTHSIDE MENTAL HEALTH CENTER
NPI 1750671095
Psychiatric Unit in Tampa, FL
NPI Status: Active since April 07, 2011
Contact Information
12512 BRUCE B DOWNS BLVD
TAMPA, FL
ZIP 33612
Phone: (813) 977-8700
Fax: (813) 979-0503
- Organization
- Psychiatric Unit
- CLIA Number: 10D0995793
- CLIA Cert. Type: Other - COMMUNITY MENTAL HEALTH
- CLIA Exp. Date: 01-30-2026
About NORTHSIDE MENTAL HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Northside Mental Health Center, a provider established in Tampa, Florida operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1750671095 assigned on April 2011. The practitioner's primary taxonomy code is 273R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Marsha Lewis Brown L.c.s.w. (Executive Director)
- NPI
- 1750671095
- Provider Name
- NORTHSIDE MENTAL HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612
- Location Phone
- (813) 977-8700
- Location Fax
- (813) 979-0503
- Mailing Address
- 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612
- Mailing Phone
- (813) 977-8700
- Mailing Fax
- (813) 979-0503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2011
- Last Update Date
- 04-07-2011
- 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
Psychiatric Unit
- Taxonomy Code
- 273R00000X
- Type
- Hospital Units
- License State
- FL
- Taxonomy Description
- In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
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
- 10D0995793
- Facility Type
- Other - COMMUNITY MENTAL HEALTH
- Certificate Effective Date
- January 31, 2024
- Certificate Expiration Date
- January 30, 2026
- Laboratory Director
- DANIEL CROFT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northside Mental Health 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 | 5 | 0 | 6 | 7 | 1 | 0 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 7 | 2 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 7 + 2 + 0 + 1 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1750671095 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083620025 | MRS. KATHRYN HOUSE FANNING A.R.N.P. Individual | Nurse Practitioner (Psychiatric/Mental Health) | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1740337039 | DR. STEVEN KANFER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1619024007 | DR. BALSAM FANOUS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1396893624 | DR. HARRIS FEINSTEIN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1407995921 | ANGELO MELENDEZ Individual | Social Worker | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1285762153 | LAURIE DREISER Individual | Social Worker | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1831227420 | EVA KLINE Individual | Social Worker | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1023133162 | CHERYL A HART Individual | Social Worker | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1902005069 | REBECCA L PRICE Individual | Social Worker | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1225224421 | MS. ESTHER REYES WALSH MSW Individual | Social Worker | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 980-1299 |
| 1669623716 | RICHARD WILLIAM MILLS III M.S. Individual | Counselor (Mental Health) | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 486-2378 |
| 1134442353 | MRS. CAROLINE GARCIA B.A Individual | Case Manager/Care Coordinator | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1225356082 | MRS. NIAJA MICHELLE JACKSON M.A. Individual | Case Manager/Care Coordinator | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 980-1299 |
| 1013219286 | MR. GARY A. VITACCO-ROBLES LMHC, NCC Individual | Counselor (Mental Health) | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1922390715 | NORTHSIDE MENTAL HEALTH Organization | Community/Behavioral Health | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1548556277 | CRYSTAL TAMMY MARIE DUNCAN MS Individual | Counselor (Mental Health) | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1033472667 | NORTHSIDE MENTAL HEALTH CENTER Organization | Community/Behavioral Health | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1881833366 | MS. DYRCIA AURORA SAAVEDRA Individual | Marriage & Family Therapist | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1497057376 | MRS. KRIS REBECCA MULHOLLEN IMH 8623 Individual | Counselor | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 977-8700 |
| 1265797104 | DANI GJELLESTAD B.A. Individual | Social Worker (Clinical) | 12512 BRUCE B DOWNS BLVD TAMPA, FL 33612 (813) 758-4951 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750671095, enumerated in the NPI registry as an "organization" on April 07, 2011
The provider is located at 12512 Bruce B Downs Blvd Tampa, Fl 33612 and the phone number is (813) 977-8700
This medical organization specializes in Psychiatric Unit with taxonomy code 273R00000X
The provider's CLIA number is 10D0995793 for a "other - community mental health" 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 April 07, 2011. 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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