INDIGO INTEGRATIVE PSYCHIATRY AND WELLNESS
NPI 1902625569
Clinic/Center - Adult Mental Health in Raleigh, NC

NPI Status: Active since October 09, 2024

Contact Information

4030 WAKE FOREST RD
RALEIGH, NC
ZIP 27609
Phone: (828) 419-4490

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About INDIGO INTEGRATIVE PSYCHIATRY AND WELLNESS

This page provides the complete NPI Profile along with additional information for Indigo Integrative Psychiatry And Wellness, a provider established in Raleigh, North Carolina operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1902625569 assigned on October 2024. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Misty Stills Pa-c (Owner)

NPI
1902625569
Provider Name
INDIGO INTEGRATIVE PSYCHIATRY AND WELLNESS
Entity Type
Organization
Location Address
4030 WAKE FOREST RD RALEIGH, NC 27609
Location Phone
(828) 419-4490
Mailing Address
4030 WAKE FOREST RD RALEIGH, NC 27609
Mailing Phone
(828) 419-4490
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2024
Last Update Date
10-09-2024
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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

MISTY STILLS PA-C

Authorized Official Title
OWNER
Authorized Official Phone
(828) 419-4490

Reviews for INDIGO INTEGRATIVE PSYCHIATRY AND WELLNESS

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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.
1902625569
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290212210512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 2 + 2 + 1 + 0 + 5 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1902625569 is valid because the calculated check digit 9 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
1275725558CAROLINA NEUROSCIENCE INSTITUTE, PC
Organization
Neurological Surgery4030 WAKE FOREST RD STE 115
RALEIGH, NC 27609
(919) 239-0264
1518931666CAROLINA SPINE SPECIALISTS PA
Organization
Physical Medicine & Rehabilitation4030 WAKE FOREST RD SUITE 102
RALEIGH, NC 27609
(919) 873-0002
1235197112TOTAL MOTION PHYSICAL THERAPY INC
Organization
Specialist4030 WAKE FOREST RD SUITE 211
RALEIGH, NC 27609
(919) 872-2828
1730560350 KELLEY WARD MS, BCBA
Individual
Behavior Analyst4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(954) 693-7885
1699142729MRS. VICKI HEDGES
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(336) 480-6676
1811365018 KELLY MANDARA
Individual
Developmental Therapist4030 WAKE FOREST RD SUITE 349
RALEIGH, NC 27609
(336) 465-8804
1538538491 EMILY BERTHIAUME
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(888) 880-9270
1679520597MR. THOMAS HOWARD DALONZO-BAKER MPT
Individual
Physical Therapist4030 WAKE FOREST RD SUITE 211
RALEIGH, NC 27609
(919) 872-2828
1144691643 ADRIENNE MURPHY
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(888) 880-9270
1831560820 SHANEQUA HODGES
Individual
Developmental Therapist4030 WAKE FOREST RD SUITE 349
RALEIGH, NC 27609
(888) 880-9270
1992176887MRS. SHANDRA GRAY RBT
Individual
Developmental Therapist4030 WAKE FOREST RD SUITE 349
RALEIGH, NC 27609
(954) 603-7885
1235501156 ERIN HERLIHY
Individual
Behavior Analyst4030 WAKE FOREST RD SUITE 349
RALEIGH, NC 27609
(888) 880-9270
1487027322 KELLEY HENCH
Individual
Developmental Therapist4030 WAKE FOREST RD
RALEIGH, NC 27609
(704) 859-4478
1730552613 MARCIA BOGARTY
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(888) 880-9270
1841663713 TANGELA ELLIS
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(888) 880-9270
1154795771 JORDAN WADDELL CTRS
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(954) 603-7885
1790150357 HELENE SINGLA B.A
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(215) 436-4264
1922464049 JESSICA SAXTON
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(954) 603-7885
1134587207 LATOYA DIANNE THOMAS
Individual
Developmental Therapist4030 WAKE FOREST RD SUITE 34
RALEIGH, NC 27609
(888) 880-9270
1336508498 LACHEA DAVIS
Individual
Developmental Therapist4030 WAKE FOREST RD STE 349
RALEIGH, NC 27609
(919) 400-4138

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902625569, enumerated in the NPI registry as an "organization" on October 09, 2024

The provider is located at 4030 Wake Forest Rd Raleigh, Nc 27609 and the phone number is (828) 419-4490

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

This NPI record was last updated on October 09, 2024. 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.