MYSTIC MEDICAL ASSOCIATES LLC
NPI 1972954477
Clinic/Center - Primary Care in Mystic, CT
NPI Status: Active since June 27, 2016
Contact Information
12 ROOSEVELT AVE
SECOND FLOOR
MYSTIC, CT
ZIP 06355
Phone: (860) 245-4126
Fax: (860) 245-4128
- Organization
- Clinic/Center
- Primary Care
About MYSTIC MEDICAL ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Mystic Medical Associates Llc, a primary care provider established in Mystic, Connecticut operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1972954477 assigned on June 2016. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. Mystic Medical Associates Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Christopher J Anderson Msn Fnp-c (Aprn)
- NPI
- 1972954477
- Provider Name
- MYSTIC MEDICAL ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 12 ROOSEVELT AVE SECOND FLOOR MYSTIC, CT 06355
- Location Phone
- (860) 245-4126
- Location Fax
- (860) 245-4128
- Mailing Address
- 495 GOLD STAR HWY STE 112 GROTON, CT 06340
- Mailing Phone
- (860) 245-4126
- Mailing Fax
- (860) 245-4128
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-27-2016
- Last Update Date
- 03-21-2024
- Code Navigator
A primary care provider (PCP) like Mystic Medical Associates Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 230 S Main St. Suite #2
Cheshire, CT 06410
(860) 245-4126
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
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 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Reviews for MYSTIC MEDICAL ASSOCIATES 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. | |||||||||
| 1 | 9 | 7 | 2 | 9 | 5 | 4 | 4 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 18 | 5 | 8 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 8 + 5 + 8 + 4 + 1 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1972954477 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033123534 | CAROL SMITH PHD Individual | Psychologist | 12 ROOSEVELT AVE APROMA STUDIOS MYSTIC, CT 06355 (860) 777-5560 |
| 1225146707 | DR. MADLENE ESKAROSE Individual | Dentist | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 572-0593 |
| 1891895983 | DR. LINDA VOGEL PH.D. Individual | Psychologist | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 536-4383 |
| 1528141256 | DR. DEIRDRE JOAN OCONNOR N.D. Individual | Naturopath | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 572-9566 |
| 1700930211 | MS. JANET A. NOYES LMFT Individual | Marriage & Family Therapist | 12 ROOSEVELT AVE SUITE 203 MYSTIC, CT 06355 (860) 536-4383 |
| 1548449119 | DEIRDRE J. O'CONNOR, N.D. Organization | Naturopath | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 572-9566 |
| 1174853691 | ANNE RIVERS LCSW Individual | Social Worker (Clinical) | 12 ROOSEVELT AVE SUITE 203 MYSTIC, CT 06355 (860) 536-4383 |
| 1598105595 | DIALECT PYSCHOTHERAPY INC. Organization | Marriage & Family Therapist | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 333-2411 |
| 1992175038 | DR. ANA GABRIELLA RUEDIGER ND Individual | Naturopath | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 572-9566 |
| 1164896189 | NATURA MEDICA Organization | Naturopath | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 572-9566 |
| 1518061704 | MS. LISA VENDITTO MA Individual | Counselor (Professional) | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 333-4634 |
| 1801353735 | INTEGRATIVE WELLNESS CENTER, LLC Organization | Naturopath | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 572-9566 |
| 1205138161 | SUSANNE G TAYLOR LMFT Individual | Marriage & Family Therapist | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 899-7711 |
| 1114993789 | DR. THOMAS JEFFREY WAGNER OD MS Individual | Optometrist | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 536-1313 |
| 1679107411 | OPTIMYSTIC LLC Organization | Optometrist | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 536-1313 |
| 1639244890 | GIULIA JARAMILLO MS LMFT Individual | Marriage & Family Therapist | 12 ROOSEVELT AVE MYSTIC, CT 06355 (860) 333-2411 |
| 1336591924 | JEANNINE CLEAVER LCSW Individual | Social Worker (Clinical) | 12 ROOSEVELT AVE MYSTIC, CT 06355 (602) 459-8408 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972954477, enumerated in the NPI registry as an "organization" on June 27, 2016
The provider is located at 12 Roosevelt Ave Second Floor Mystic, Ct 06355 and the phone number is (860) 245-4126
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
This NPI record was last updated on June 27, 2016. 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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