ROSE RESILIENCY CENTER
NPI 1104261213
Psychologist - Prescribing (Medical) in Pocono Summit, PA

NPI Status: Active since May 02, 2013

Contact Information

2557 ROUTE 940
SUITE 102
POCONO SUMMIT, PA
ZIP 18346
Phone: (866) 343-5509
Fax: (570) 839-5392

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  • Organization
  • Psychologist
  • Prescribing (Medical)

About ROSE RESILIENCY CENTER

This page provides the complete NPI Profile along with additional information for Rose Resiliency Center, a provider established in Pocono Summit, Pennsylvania operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1104261213 assigned on May 2013. The practitioner's primary taxonomy code is 103TP0016X with license number MD037460L (PA). The provider is registered as an organization and their NPI record was last updated 13 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. William Freeman Iv Mba (Executive Director)

NPI
1104261213
Provider Name
ROSE RESILIENCY CENTER
Entity Type
Organization
Location Address
2557 ROUTE 940 SUITE 102 POCONO SUMMIT, PA 18346
Location Phone
(866) 343-5509
Location Fax
(570) 839-5392
Mailing Address
PO BOX 329 MOUNT POCONO, PA 18344
Mailing Phone
(866) 343-5509
Mailing Fax
(570) 839-5392
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-02-2013
Last Update Date
05-02-2013
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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 Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
License No.
MD037460L
License State
PA
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 MULTIPLE 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

MR. WILLIAM FREEMAN IV MBA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(866) 343-5509

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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 1104261213, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 1 → 2 1 → 2

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 + 6 + 2 + 2 + 2 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104261213.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Pastoral)
2557 ROUTE 940
POCONO SUMMIT, PA 18346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104261213, enumerated as an "organization" on May 02, 2013.

The provider is located at 2557 ROUTE 940 SUITE 102 POCONO SUMMIT, PA 18346 and the phone number is (866) 343-5509.

Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).