AT4K TEXAS PROVIDERS PLLC
NPI 1003626581
Psychologist - Intellectual and Developmental Disabilities in Grapevine, TX

NPI Status: Active since January 08, 2025

Contact Information

1100 S MAIN ST STE 103
GRAPEVINE, TX
ZIP 76051
Phone: (817) 310-5510

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  • Organization
  • Psychologist
  • Intellectual and Developmental Disabilit...
  • Accepts Insurance

About AT4K TEXAS PROVIDERS PLLC

This page provides the complete NPI Profile along with additional information for At4k Texas Providers Pllc, a provider established in Grapevine, Texas operating as a Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1003626581 assigned on January 2025. The practitioner's primary taxonomy code is 103TM1800X. The provider is registered as an organization and their NPI record was last updated one year ago. At4k Texas Providers Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Chris Tillotson (Ceo)

NPI
1003626581
Provider Name
AT4K TEXAS PROVIDERS PLLC
Entity Type
Organization
Location Address
1100 S MAIN ST STE 103 GRAPEVINE, TX 76051
Location Phone
(817) 310-5510
Mailing Address
112 WALNUT BLVD UNIT 308 ROCHESTER, MI 48307
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2025
Last Update Date
02-07-2025
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Location Map

Secondary Locations

  • 11240 Farm to Market 1960 Rd W Ste 201
    Houston, TX 77065
    (817) 310-5510

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

Psychologist Intellectual and Developmental Disabilities

Taxonomy Code
103TM1800X
Type
Behavioral Health & Social Service Providers

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)
12080P0006XAllopathic & Osteopathic Physicians

Pediatrics
Developmental - Behavioral Pediatrics

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

CHRIS TILLOTSON

Authorized Official Title
CEO
Authorized Official Phone
(248) 770-9929

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003626581, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 2 + 2 + 1 + 2 + 5 + 1 + 6 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1003626581.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003626581, enumerated as an "organization" on January 08, 2025.

The provider is located at 1100 S MAIN ST STE 103 GRAPEVINE, TX 76051 and the phone number is (817) 310-5510.

Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.