IBTISAM MATTA RN
NPI 1063176543
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Grand Rapids, MI

NPI Status: Active since October 29, 2021

Contact Information

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 336-3765

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  • Individual
  • Female
  • Registered Nurse
  • Psychiatric/Mental Health, Child & Adole...

About IBTISAM MATTA

This page provides the complete NPI Profile along with additional information for Ibtisam Matta, a provider established in Grand Rapids, Michigan with a medical specialization in Registered Nurse, focusing in psychiatric/mental health, child & adolescent . The healthcare provider is registered in the NPI registry with number 1063176543 assigned on October 2021. The practitioner's primary taxonomy code is 163WP0807X with license number 4704359386 (MI). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1063176543
Provider Name
IBTISAM MATTA RN
Gender
Female
Entity Type
Individual
Location Address
790 FULLER AVE NE GRAND RAPIDS, MI 49503
Location Phone
(616) 336-3765
Mailing Address
2610 RILEY AVE SW WYOMING, MI 49509
Mailing Phone
(517) 331-3895
Is Sole Proprietor?
No
Enumeration Date
10-29-2021
Last Update Date
10-29-2021
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A registered nurse (RN) like Ibtisam Matta coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

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

Registered Nurse Psychiatric/Mental Health, Child & Adolescent

Taxonomy Code
163WP0807X
Type
Nursing Service Providers
License No.
4704359386
License State
MI

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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.
1063176543
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123271258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 7 + 1 + 2 + 5 + 8 + 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 = 33

The NPI number 1063176543 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 20 providers are registered at the same or nearby location.

ERIN MAY MA LLP LPC CAADC

Psychologist

(Counseling)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

MRS. VELESSAUNIA BRIDGES-WILSON MSC, LLPC

Counselor

(Mental Health)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

DENNIS DOWLING LPC

Counselor

(Professional)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

JANNA DAWDY RN

Registered Nurse

(Psychiatric/Mental Health)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

SUSAN K STAUFFER LMSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 862-4004

STEPHANIE DODDE

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

DIANA JACKSON-WHITFIELD MA/LBSW

Social Worker

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

MARLEAH BEVELACQUA LMSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-5140

DARRYL S WEEKLEY LMSW, ACSW, CAADC

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-8131

MRS. EMILY JANE-TAYLOR BAILEY MSW, LMSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

DAVID G MARSHALL LPC

Counselor

(Professional)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

SARAH ELIZABETH BENJAMIN LMSW

Community/Behavioral Health

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

JAMES EDWARD ASH LMSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 632-5863

MRS. LAURA GUYTON LLPC

Counselor

(Professional)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

MR. FREDERIC GEORGE HULCE MSW

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

ELBIN ABEN-ALDE ORELLANA MA, LLP

Psychologist

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-5243

CARLY PETROELJE

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3909

KRISTIN LEIGH SPYKERMAN LMSW, CAADC

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 336-3765

NICOLE BROWETT

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-5128

MISS SHANNON M MULLETT LMSW, CAADC

Social Worker

(Clinical)

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503

(616) 855-8950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063176543, enumerated as an "individual" on October 29, 2021.

The provider is located at 790 FULLER AVE NE GRAND RAPIDS, MI 49503 and the phone number is (616) 336-3765.

Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.