SCOTT CLEM
NPI 1063890341
Residential Treatment Facility, Emotionally Disturbed Children in Gillette, WY
NPI Status: Active since May 07, 2015
Contact Information
905 N GURLEY AVE
GILLETTE, WY
ZIP 82716
Phone: (307) 686-0669
- Individual
- Male
- Residential Treatment Facility, Emotiona...
About SCOTT CLEM
This page provides the complete NPI Profile along with additional information for Scott Clem, a provider established in Gillette, Wyoming with a medical specialization in Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1063890341 assigned on May 2015. The practitioner's primary taxonomy code is 322D00000X with license number 020407A2 (WY). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1063890341
- Provider Name
- SCOTT CLEM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 905 N GURLEY AVE GILLETTE, WY 82716
- Location Phone
- (307) 686-0669
- Mailing Address
- 905 N GURLEY AVE GILLETTE, WY 82716
- Mailing Phone
- (307) 686-0669
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-07-2015
- Last Update Date
- 05-07-2015
- Code Navigator
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
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- 020407A2
- License State
- WY
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 3076860669 | MEDICAID (05) | WY |
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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 1063890341, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GILLETTE, WY 82716
GILLETTE, WY 82716
GILLETTE, WY 82716
GILLETTE, WY 82716
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063890341, enumerated as an "individual" on May 07, 2015.
The provider is located at 905 N GURLEY AVE GILLETTE, WY 82716 and the phone number is (307) 686-0669.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
