PEAK LONGEVITY LLC
NPI 1922596360
Clinic/Center - Mental Health (Including Community Mental Health Center) in North Haven, CT

NPI Status: Active since April 30, 2018

Contact Information

451 STATE ST
NORTH HAVEN, CT
ZIP 06473
Phone: (203) 281-4325
Fax: (203) 281-4324

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About PEAK LONGEVITY LLC

This page provides the complete NPI Profile along with additional information for Peak Longevity Llc, a provider established in North Haven, Connecticut 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 1922596360 assigned on April 2018. The practitioner's primary taxonomy code is 261QM0801X with license number 005904 (CT). The provider is registered as an organization and their NPI record was last updated 7 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 Deborah Marcus, Lcsw Lcsw (Director, Lcsw)

NPI
1922596360
Provider Name
PEAK LONGEVITY LLC
Entity Type
Organization
Location Address
451 STATE ST NORTH HAVEN, CT 06473
Location Phone
(203) 281-4325
Location Fax
(203) 281-4324
Mailing Address
451 STATE ST NORTH HAVEN, CT 06473
Mailing Phone
(203) 281-4325
Mailing Fax
(203) 281-4324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2018
Last Update Date
04-30-2018
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
005904
License State
CT

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)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

005904 (CT)

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DEBORAH MARCUS, LCSW LCSW

Authorized Official Title
DIRECTOR, LCSW
Authorized Official Phone
(203) 281-4325

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
140005904CT03OTHER (01)CTANTHEM BCBS

Reviews for PEAK LONGEVITY LLC

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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.
1922596360
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294210912312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 0 + 9 + 1 + 2 + 3 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1922596360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720048150 LIESEL L. GOULD M.D.
Individual
Pediatrics (Adolescent Medicine)451 STATE ST
NORTH HAVEN, CT 06473
(203) 248-8888
1659435600 LINDA A JACOBSON A.P.R.N.
Individual
Nurse Practitioner (Pediatrics)451 STATE ST
NORTH HAVEN, CT 06473
(203) 248-8888
1871731927COMPLETE PEDIATRICS
Organization
Pediatrics (Adolescent Medicine)451 STATE ST
NORTH HAVEN, CT 06473
(203) 248-8888
1720479025 ETHAN PARKER LPC
Individual
Counselor (Professional)451 STATE ST
NORTH HAVEN, CT 06473
(203) 768-7653
1164808226URSULA.L.CHOCK-HARRIS,LCSW, P.C.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))451 STATE ST
NORTH HAVEN, CT 06473
(860) 951-4530
1023465093 RENEE CIFARELLI
Individual
Social Worker (Clinical)451 STATE ST
NORTH HAVEN, CT 06473
(203) 230-8711
1366964173 MARGARET MARTIN SHEA
Individual
Nurse Practitioner (Pediatrics)451 STATE ST
NORTH HAVEN, CT 06473
(203) 248-8888
1922595560KERRY-ANN FRANK, LCSW, LLC
Organization
Community/Behavioral Health451 STATE ST
NORTH HAVEN, CT 06473
(475) 355-7655
1619368677MS. MADELEINE FEJOS LCSW
Individual
Social Worker (Clinical)451 STATE ST
NORTH HAVEN, CT 06473
(203) 433-7223
1639220544MRS. JOAN S. SLOAN LCSW
Individual
Social Worker (Clinical)451 STATE ST
NORTH HAVEN, CT 06473
(203) 258-3445
1063548428 MARY K PETERSON APRN
Individual
Nurse Practitioner (Pediatrics)451 STATE ST
NORTH HAVEN, CT 06473
(203) 248-8888
1659781383 JOHN RAMIREZ MD
Individual
Pediatrics (Adolescent Medicine)451 STATE ST
NORTH HAVEN, CT 06473
(203) 248-8888
1275697310 MICHELLE C CASERTA M.D.
Individual
Pediatrics451 STATE ST
NORTH HAVEN, CT 06473
(203) 248-8888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922596360, enumerated in the NPI registry as an "organization" on April 30, 2018

The provider is located at 451 State St North Haven, Ct 06473 and the phone number is (203) 281-4325

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Blue Cross Blue Shield, Anthem Blue Cross,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 30, 2018. 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.