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
- 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
- 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
- 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) |
---|---|---|---|---|
1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 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.
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 |
---|---|---|---|
140005904CT03 | OTHER (01) | CT | ANTHEM BCBS |
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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 | 9 | 2 | 2 | 5 | 9 | 6 | 3 | 6 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 4 | 2 | 10 | 9 | 12 | 3 | 12 | |
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 |
1871731927 | COMPLETE 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 |
1164808226 | URSULA.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 |
1922595560 | KERRY-ANN FRANK, LCSW, LLC Organization | Community/Behavioral Health | 451 STATE ST NORTH HAVEN, CT 06473 (475) 355-7655 |
1619368677 | MS. MADELEINE FEJOS LCSW Individual | Social Worker (Clinical) | 451 STATE ST NORTH HAVEN, CT 06473 (203) 433-7223 |
1639220544 | MRS. 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 | Pediatrics | 451 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].
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