AERIES HEALTHCARE OF ILLINOIS PHYSICIAN GROUP
NPI 1083841076
Psychologist - Prescribing (Medical) in Forest Park, IL
NPI Status: Active since June 17, 2009
Contact Information
8311 W ROOSEVELT RD
FOREST PARK, IL
ZIP 60130
Phone: (708) 209-4150
- Organization
- Psychologist
- Prescribing (Medical)
About AERIES HEALTHCARE OF ILLINOIS PHYSICIAN GROUP
This page provides the complete NPI Profile along with additional information for Aeries Healthcare Of Illinois Physician Group, a provider established in Forest Park, Illinois operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1083841076 assigned on June 2009. The practitioner's primary taxonomy code is 103TP0016X. The provider is registered as an organization and their NPI record was last updated 17 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 Mr. Michael Nelson (Cfo)
- NPI
- 1083841076
- Provider Name
- AERIES HEALTHCARE OF ILLINOIS PHYSICIAN GROUP
- Entity Type
- Organization
- Location Address
- 8311 W ROOSEVELT RD FOREST PARK, IL 60130
- Location Phone
- (708) 209-4150
- Mailing Address
- PO BOX 840936 DALLAS, TX 72584
- Mailing Phone
- (708) 209-4152
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-17-2009
- Last Update Date
- 06-17-2009
- 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
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License State
- IL
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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.
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 |
|---|---|---|---|
| 144009 | MEDICARE UPIN (02) |
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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 1083841076, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FOREST PARK, IL 60130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083841076, enumerated as an "organization" on June 17, 2009.
The provider is located at 8311 W ROOSEVELT RD FOREST PARK, IL 60130 and the phone number is (708) 209-4150.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
