GOOD SHEPHERD GERIATRIC CENTER, INC.
NPI 1073688297
Psychologist - Adult Development & Aging in Mason City, IA

NPI Status: Active since November 22, 2006

Contact Information

302 2ND ST NE
MASON CITY, IA
ZIP 50401
Phone: (641) 424-1740

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  • Organization
  • Psychologist
  • Adult Development & Aging
  • CLIA Number: 16D0383978
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About GOOD SHEPHERD GERIATRIC CENTER, INC.

This page provides the complete NPI Profile along with additional information for Good Shepherd Geriatric Center, Inc., a provider established in Mason City, Iowa operating as a Psychologist, focusing in adult development & aging . The healthcare provider is registered in the NPI registry with number 1073688297 assigned on November 2006. The practitioner's primary taxonomy code is 103TA0700X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Anne Demaris (Bkpr)

NPI
1073688297
Provider Name
GOOD SHEPHERD GERIATRIC CENTER, INC.
Entity Type
Organization
Location Address
302 2ND ST NE MASON CITY, IA 50401
Location Phone
(641) 424-1740
Mailing Address
302 2ND ST NE MASON CITY, IA 50401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2006
Last Update Date
11-10-2008
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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

Psychologist Adult Development & Aging

Taxonomy Code
103TA0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

ANNE DEMARIS

Authorized Official Title
BKPR
Authorized Official Phone
(641) 424-1740

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0383978
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DAVID RUEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Good Shepherd Geriatric Center, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1073688297, 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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
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 7 → 14 → 5 6 → 12 → 3 8 → 16 → 7 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 + 4 + 3 + 1 + 2 + 8 + 1 + 6 + 2 + 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 1073688297.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Pharmacy (Long Term Care Pharmacy)
302 2ND ST NE
MASON CITY, IA 50401
Durable Medical Equipment & Medical Supplies (Nursing Facility Supplies)
302 2ND ST NE
MASON CITY, IA 50401
Psychologist (Adult Development & Aging)
302 2ND ST NE
MASON CITY, IA 50401
Skilled Nursing Facility
302 2ND ST NE
MASON CITY, IA 50401
Pharmacy (Long Term Care Pharmacy)
302 2ND ST NE
MASON CITY, IA 50401
Psychologist (Adult Development & Aging)
302 2ND ST NE
MASON CITY, IA 50401
Psychologist (Adult Development & Aging)
302 2ND ST NE
MASON CITY, IA 50401
Physical Therapist (Geriatrics)
302 2ND ST NE
MASON CITY, IA 50401
Speech-Language Pathologist
302 2ND ST NE
MASON CITY, IA 50401
Physical Therapist
302 2ND ST NE
MASON CITY, IA 50401
Occupational Therapist
302 2ND ST NE
MASON CITY, IA 50401
Occupational Therapist
302 2ND ST NE
MASON CITY, IA 50401
Occupational Therapist
302 2ND ST NE
MASON CITY, IA 50401
Skilled Nursing Facility
302 2ND ST NE
MASON CITY, IA 50401
Skilled Nursing Facility
302 2ND ST NE
MASON CITY, IA 50401
Assisted Living Facility
302 2ND ST NE
MASON CITY, IA 50401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073688297, enumerated as an "organization" on November 22, 2006.

The provider is located at 302 2ND ST NE MASON CITY, IA 50401 and the phone number is (641) 424-1740.

Psychologist with taxonomy code 103TA0700X and a focus in Adult Development & Aging.