INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.
NPI 1093938102
Clinic/Center - Developmental Disabilities in Fort Wayne, IN

NPI Status: Active since April 10, 2007

Contact Information

3030 LAKE AVE
SUITE 7
FORT WAYNE, IN
ZIP 46805
Phone: (260) 422-2838

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.

This page provides the complete NPI Profile along with additional information for Interdisciplinary Diagnostic And Evaluation Center, Inc., a provider established in Fort Wayne, Indiana operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1093938102 assigned on April 2007. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Marilyn Nathan Ph.d. (Clinical Director)

NPI
1093938102
Provider Name
INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.
Entity Type
Organization
Location Address
3030 LAKE AVE SUITE 7 FORT WAYNE, IN 46805
Location Phone
(260) 422-2838
Mailing Address
3030 LAKE AVE SUITE 7 FORT WAYNE, IN 46805
Mailing Phone
(260) 422-2838
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2007
Last Update Date
06-17-2008
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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

MARILYN NATHAN PH.D.

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(765) 284-9573

Reviews for INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.

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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 1093938102, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
2
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 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 8 + 3 + 1 + 6 + 1 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1093938102.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Family Medicine
3030 LAKE AVE, SUITE32
FORT WAYNE, IN 46805
Physical Therapist
3030 LAKE AVE, SUITE 24
FORT WAYNE, IN 46805
Dentist (Pediatric Dentistry)
3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805
Allergy & Immunology
3030 LAKE AVE, SUITE 27
FORT WAYNE, IN 46805
Pediatrics
3030 LAKE AVE, SUITE 10
FORT WAYNE, IN 46805
Dentist (General Practice)
3030 LAKE AVE, SUITE 19
FORT WAYNE, IN 46805
Audiologist-Hearing Aid Fitter
3030 LAKE AVE, SUITE 23
FORT WAYNE, IN 46805
Family Medicine
3030 LAKE AVE, SUITE 32
FORT WAYNE, IN 46805
Allergy & Immunology
3030 LAKE AVE, SUITE 27
FORT WAYNE, IN 46805
Physical Therapist
3030 LAKE AVE, 26
FORT WAYNE, IN 46805
Physical Therapist
3030 LAKE AVE, SUITE 26
FORT WAYNE, IN 46805
Dentist (Pediatric Dentistry)
3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805
Allergy & Immunology
3030 LAKE AVE, SUITE 27
FORT WAYNE, IN 46805
Audiologist-Hearing Aid Fitter
3030 LAKE AVE, SUITE #23
FORT WAYNE, IN 46805
Pediatrics
3030 LAKE AVE, #25A
FORT WAYNE, IN 46805
Allergy & Immunology
3030 LAKE AVE, SUITE 27
FORT WAYNE, IN 46805
Pediatrics (Adolescent Medicine)
3030 LAKE AVE, SUITE 10
FORT WAYNE, IN 46805
Counselor (Mental Health)
3030 LAKE AVE
FORT WAYNE, IN 46805
Behavior Technician
3030 LAKE AVE
FORT WAYNE, IN 46805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093938102, enumerated as an "organization" on April 10, 2007.

The provider is located at 3030 LAKE AVE SUITE 7 FORT WAYNE, IN 46805 and the phone number is (260) 422-2838.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.