PUTNAM-ST. JOHNS BEHAVIORAL HEALTHCARE
NPI 1023013729
Case Management in Palatka,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 17, 2005

Contact Information

330 Kay Larkin Dr
Palatka,
Post Code: 32177
Phone: (386) 329-3780
Fax: (386) 385-1269

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Putnam-st. Johns Behavioral Healthcare in Palatka - Case Management

Putnam-st. Johns Behavioral Healthcare is a Case Management in Palatka, . Putnam-st. Johns Behavioral Healthcare practices all healthcare services and medical treatments related to Case Management. The NPI Number for Putnam-st. Johns Behavioral Healthcare is 1023013729. The last update date is 2011-12-29.

Putnam-st. Johns Behavioral Healthcare's current location address is 330 Kay Larkin Dr, Palatka, . You can contact this provider via phone number (386) 329-3780 and fax number (386) 385-1269. The mailing address for Putnam-st. Johns Behavioral Healthcare is 330 Kay Larkin Dr, Palatka, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023013729
Provider Legal Name
PUTNAM COUNTY ALCOHOL & DRUG COUNCIL, INC.
Other Organization Name
PUTNAM-ST. JOHNS BEHAVIORAL HEALTHCARE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
330 Kay Larkin Dr, Palatka,
Location Phone
(386) 329-3780
Location Fax
(386) 385-1269
Mailing Address
330 Kay Larkin Dr, Palatka, Florida(FL)
Mailing Phone
386-329-3780
Mailing Fax
386-385-1269
Enumeration Date
2005-06-17
Last Update Date
2011-12-29
Code Navigator

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
-
License No.
-
License State
-
Taxonomy Description
-

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 251B00000X Case Management Agency

Case Management

()
2 324500000X Substance Abuse Rehabilitation Facility

Substance Abuse Rehabilitation Facility

0354AD252601 (Florida)

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
360349100 MEDICAID (05) Florida (FL)
760471800 Other (non-Medicare) (01) Florida (FL) Medicaid Comp. Access
274738 Other (non-Medicare) (01) Florida (FL) Wellcare
335268 Other (non-Medicare) (01) Florida (FL) Value Options
38327 Other (non-Medicare) (01) Florida (FL) BC/BS
60023030 Other (non-Medicare) (01) Florida (FL) Magellan
758545400 Other (non-Medicare) (01) Florida (FL) Medicaid Care Mgmt

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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.
1023013729
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204301674
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 204301674
2 + 0 + 4 + 3 + 0 + 1 + 6 + 7 + 4 + 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 = 9 9

The NPI number 1023013729 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023013679 PAMELA S DOLBER
Individual
Podiatrist 4126 LORETTO AVE
SEBRING, Florida (FL)
863-385-0571
1023013661 FRANK EDWARD GREDLER
Individual
Internal Medicine, Cardiovascular Disease 1300 MEDICAL DR
TALLAHASSEE, Florida (FL)
850-216-0100
1023013646 NANCY MARIE SEUFERT
Individual
Nurse Practitioner, Family 1919 W SWANN AVE
TAMPA, Florida (FL)
813-254-8055
1023013497 YOUSIF ABUBAKR
Individual
Internal Medicine, Hematology & Oncology 5742 BOOTH RD
JACKSONVILLE, Florida (FL)
904-739-7779
1023013414 ANITA LYNN ABDULLAH
Individual
Occupational Therapist 1577 ROBERTS DR
JACKSONVILLE BEACH, Florida (FL)
904-247-3324