CONNECTING BROKEN BRIDGES
NPI 1962195131
Clinic/Center - Adolescent and Children Mental Health in Fort Wayne, IN

NPI Status: Active since June 01, 2023

Contact Information

2821 ELMDALE DR
FORT WAYNE, IN
ZIP 46816
Phone: (260) 582-1835

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About CONNECTING BROKEN BRIDGES

This page provides the complete NPI Profile along with additional information for Connecting Broken Bridges, a provider established in Fort Wayne, Indiana operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1962195131 assigned on June 2023. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Deanna Lockett (Co Owner)

NPI
1962195131
Provider Name
CONNECTING BROKEN BRIDGES
Entity Type
Organization
Location Address
2821 ELMDALE DR FORT WAYNE, IN 46816
Location Phone
(260) 582-1835
Mailing Address
2821 ELMDALE DR FORT WAYNE, IN 46816
Mailing Phone
(260) 582-1835
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2023
Last Update Date
06-08-2023
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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 Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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

DEANNA LOCKETT

Authorized Official Title
CO OWNER
Authorized Official Phone
(260) 348-4738

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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.
1962195131
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122291016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 2 + 9 + 1 + 0 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1962195131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962195131, enumerated in the NPI registry as an "organization" on June 01, 2023

The provider is located at 2821 Elmdale Dr Fort Wayne, In 46816 and the phone number is (260) 582-1835

This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health

This NPI record was last updated on June 01, 2023. 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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