JACKSON NORTH COMMUNITY MENTAL HEALTH CENTER
NPI 1063417483
Clinic/center, Community Health in Opa-locka,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 14, 2005

Contact Information

15055 Nw 27 Avenue
Opa-locka,
Post Code: 33054
Phone: (305) 466-2800
Fax: (786) 466-2748

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Jackson North Community Mental Health Center in Opa-locka - Clinic/Center, Community Health

Jackson North Community Mental Health Center is a Clinic/Center, Community Health in Opa-locka, . Jackson North Community Mental Health Center practices all healthcare services and medical treatments related to Clinic/Center, Community Health. The NPI Number for Jackson North Community Mental Health Center is 1063417483. The last update date is 2020-09-04.

Jackson North Community Mental Health Center's current location address is 15055 Nw 27 Avenue, Opa-locka, . You can contact this provider via phone number (305) 466-2800 and fax number (786) 466-2748. The mailing address for Jackson North Community Mental Health Center is 15055 Nw 27 Avenue, Opa-locka, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1063417483
Provider Legal Name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Other Organization Name
JACKSON NORTH COMMUNITY MENTAL HEALTH CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
15055 Nw 27 Avenue, Opa-locka,
Location Phone
(305) 466-2800
Location Fax
(786) 466-2748
Mailing Address
P.o. Box 12493, Miami, Florida(FL)
Mailing Phone
Mailing Fax
-
Enumeration Date
2005-06-14
Last Update Date
2020-09-04
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.
8511
License State
Florida (FL)
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 261QC1500X Community Health Clinic/Center

Clinic/Center, Community Health

8511 (Florida)
2 261QM0850X Adult Mental Health Clinic/Center

Clinic/Center, Adult Mental Health

8511 (Florida)
3 261QM0855X Adolescent and Children Mental Health Clinic/Center

Clinic/Center, Adolescent and Children Mental Health

8511 (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
005851600 MEDICAID (05) Florida (FL)
014357500 MEDICAID (05) Florida (FL)
075501000 MEDICAID (05) Florida (FL)
142202200 Other (non-Medicare) (01) Florida (FL) Assisted Care Services
686226896 MEDICAID (05) Florida (FL)
912237100 MEDICAID (05) Florida (FL)
912301600 MEDICAID (05) Florida (FL)

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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.
1063417483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201238114416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 201238114416
2 + 0 + 1 + 2 + 3 + 8 + 1 + 1 + 4 + 4 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1063417483 is valid because the calculated check digit 3 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
1003819038 LESTER GOLDBERG
Individual
Radiology, Diagnostic Radiology 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1043213234 BHUPINDER S MANGAT
Individual
Specialist 1403 MEDICAL PLAZA DR
SANFORD, Florida (FL)
407-324-5500
1063415248 JORDAN DITCHEK
Individual
Radiology, Body Imaging 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1043213051 MARK S GOROVOY
Individual
Ophthalmology 12381 S CLEVELAND AVE STE 300
FORT MYERS, Florida (FL)
239-939-1444
1033112156 STACIA H GOLDEY
Individual
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery 148 13TH ST SW
LARGO, Florida (FL)
727-581-8706