MELISSA SOUTHALL BROOME BCBA
NPI 1053969097
Behavior Analyst in Vicksburg, MS

NPI Status: Active since September 03, 2019

Contact Information

2222 S FRONTAGE RD
VICKSBURG, MS
ZIP 39180
Phone: (601) 852-3271

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  • Individual
  • Female
  • Behavior Analyst
  • Accepts Insurance

About MELISSA BROOME

This page provides the complete NPI Profile along with additional information for Melissa Broome, a provider established in Vicksburg, Mississippi with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1053969097 assigned on September 2019. The practitioner's primary taxonomy code is 103K00000X with license number 220005 (MS). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1053969097
Provider Name
MELISSA SOUTHALL BROOME BCBA
Gender
Female
Entity Type
Individual
Location Address
2222 S FRONTAGE RD VICKSBURG, MS 39180
Location Phone
(601) 852-3271
Mailing Address
2222 S FRONTAGE RD VICKSBURG, MS 39180
Mailing Phone
(601) 218-5497
Is Sole Proprietor?
No
Enumeration Date
09-03-2019
Last Update Date
01-24-2022
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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

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
License No.
220005
License State
MS
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Insurance Plans Accepted

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

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

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

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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 1053969097, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 5 → 10 → 1 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 8 + 6 + 1 + 8 + 0 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1053969097.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Physical Therapy Assistant
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Clinic/Center (Physical Therapy)
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Physical Therapist
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Physical Therapist
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Physical Therapy Assistant
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Occupational Therapist
2222 S FRONTAGE RD, SUITE D
VICKSBURG, MS 39180
Physical Therapist
2222 S FRONTAGE RD
VICKSBURG, MS 39180
Occupational Therapist
2222 S FRONTAGE RD
VICKSBURG, MS 39180
Speech-Language Pathologist
2222 S FRONTAGE RD
VICKSBURG, MS 39180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053969097, enumerated as an "individual" on September 03, 2019.

The provider is located at 2222 S FRONTAGE RD VICKSBURG, MS 39180 and the phone number is (601) 852-3271.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.