WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC
NPI 1104250067
Psychologist - Clinical in Aurora, IL

NPI Status: Active since August 28, 2013

Contact Information

1256 WATERFORD DR
SUITE 140
AURORA, IL
ZIP 60504
Phone: (630) 898-5322
Fax: (630) 898-5324

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  • Organization
  • Psychologist
  • Clinical

About WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC

This page provides the complete NPI Profile along with additional information for Waterford Counseling And Psychological Services, Pc, a provider established in Aurora, Illinois operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1104250067 assigned on August 2013. The practitioner's primary taxonomy code is 103TC0700X with license number 071006641 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. Waterford Counseling And Psychological Services, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Gary L Coleman Psy.d. (Clinical Psychologist)

NPI
1104250067
Provider Name
WATERFORD COUNSELING AND PSYCHOLOGICAL SERVICES, PC
Entity Type
Organization
Location Address
1256 WATERFORD DR SUITE 140 AURORA, IL 60504
Location Phone
(630) 898-5322
Location Fax
(630) 898-5324
Mailing Address
1256 WATERFORD DR SUITE 140 AURORA, IL 60504
Mailing Phone
(630) 898-5322
Mailing Fax
(630) 898-5324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2013
Last Update Date
12-15-2023
Code Navigator

A clinical psychologist like Waterford Counseling And Psychological Services, Pc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

  • 1022 Douglas Rd
    Oswego, IL 60543
    (630) 898-5322

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 Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
071006641
License State
IL
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

180008137 (IL)
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

180007319 (IL)
3103T00000XBehavioral Health & Social Service Providers

Psychologist

 
4103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
51041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

149007223 (IL)
61041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

149007369 (IL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

DR. GARY L COLEMAN PSY.D.

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(630) 898-5322

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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 1104250067, 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 0 → 0 2 → 4 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 4 + 5 + 0 + 0 + 1 + 2 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104250067.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Specialist
1256 WATERFORD DR, SUITE 170
AURORA, IL 60504
Surgery
1256 WATERFORD DR, SUITE 130
AURORA, IL 60504
Internal Medicine (Gastroenterology)
1256 WATERFORD DR, SUITE 120
AURORA, IL 60504
Specialist
1256 WATERFORD DR, SUITE170
AURORA, IL 60504
Social Worker
1256 WATERFORD DR, SUITE 140
AURORA, IL 60504
Social Worker (Clinical)
1256 WATERFORD DR, SUITE 140
AURORA, IL 60504
Internal Medicine (Gastroenterology)
1256 WATERFORD DR, SUITE 120
AURORA, IL 60504
Counselor (Professional)
1256 WATERFORD DR, #140
AURORA, IL 60504
Nurse Practitioner
1256 WATERFORD DR
AURORA, IL 60504
Surgery
1256 WATERFORD DR, SUITE 130
AURORA, IL 60504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104250067, enumerated as an "organization" on August 28, 2013.

The provider is located at 1256 WATERFORD DR SUITE 140 AURORA, IL 60504 and the phone number is (630) 898-5322.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.