CLAYTON CSB
NPI 1649257791
Clinic/center, Developmental Disabilities in Jonesboro,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 29, 2005

Contact Information

157 Smith St
Jonesboro,
Post Code: 30236
Phone: (770) 478-2280
Fax: (770) 477-9772

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Clayton Csb in Jonesboro - Clinic/Center, Developmental Disabilities

Clayton Csb is a Clinic/Center, Developmental Disabilities in Jonesboro, . Clayton Csb practices all healthcare services and medical treatments related to Clinic/Center, Developmental Disabilities. The NPI Number for Clayton Csb is 1649257791. The last update date is 2011-11-15.

Clayton Csb's current location address is 157 Smith St, Jonesboro, . You can contact this provider via phone number (770) 478-2280 and fax number (770) 477-9772. The mailing address for Clayton Csb is 157 Smith St, Jonesboro, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1649257791
Provider Legal Name
CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB
Other Organization Name
CLAYTON CSB
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
157 Smith St, Jonesboro,
Location Phone
(770) 478-2280
Location Fax
(770) 477-9772
Mailing Address
853 Battlecreek Rd, Jonesboro, Georgia(GA)
Mailing Phone
770-478-2280
Mailing Fax
770-477-9772
Enumeration Date
2005-12-29
Last Update Date
2011-11-15
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 261QD1600X Developmental Disabilities Clinic/Center

Clinic/Center, Developmental Disabilities

()
2 101Y00000X Counselor

Counselor

()
3 101YA0400X Addiction (Substance Use Disorder) Counselor

Counselor, Addiction (Substance Use Disorder)

()
4 101YM0800X Mental Health Counselor

Counselor, Mental Health

()
5 103T00000X Psychologist

Psychologist

()
6 103TA0400X Addiction (Substance Use Disorder) Psychologist

Psychologist, Addiction (Substance Use Disorder)

()
7 261QM0850X Adult Mental Health Clinic/Center

Clinic/Center, Adult Mental Health

()
8 251S00000X Community/Behavioral Health Agency

()
9 251C00000X Developmentally Disabled Services Day Training Agency

Day Training, Developmentally Disabled Services

()
10 261Q00000X Clinic/Center

Clinic/Center

()
11 261QM0855X Adolescent and Children Mental Health Clinic/Center

Clinic/Center, Adolescent and Children Mental Health

()
12 103TB0200X Cognitive & Behavioral Psychologist

Psychologist, Cognitive & Behavioral

()
13 104100000X Social Worker

Social Worker

()

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
00604205E MEDICAID (05) Georgia (GA)
GRP2322 Other (non-Medicare) (01) Georgia (GA) Cahaba GBA

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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.
1649257791
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26894514718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 26894514718
2 + 6 + 8 + 9 + 4 + 5 + 1 + 4 + 7 + 1 + 8 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 1 1

The NPI number 1649257791 is valid because the calculated check digit 1 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
1295738227 JOHN DAY
Individual
Orthopaedic Surgery 300 TOWER RD NE
MARIETTA, Georgia (GA)
770-427-5717
1295738243 MEDFUND LLC
HORIZON COLUMBUS LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490
1285637231 CARLOS E LOPEZ
Individual
Internal Medicine, Infectious Disease 275 COLLIER RD NW
ATLANTA, Georgia (GA)
404-355-3161
1063415016 D HODARI BROOKS
Individual
Orthopaedic Surgery 1700 HOSPITAL SOUTH DR STE 502
AUSTELL, Georgia (GA)
943-202-7070
1588667521 ORRIN SCOTT SWAYZE
Individual
Orthopaedic Surgery 300 TOWER RD NE
MARIETTA, Georgia (GA)
770-427-5717