MATHEW VADAKKEVEETTIL CHACKO PMHNP-BC
NPI 1104538552
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX
NPI Status: Active since December 16, 2022
Contact Information
4500 S LANCASTER RD
DALLAS, TX
ZIP 75216
Phone: (214) 727-1031
- Individual
- Male
- Nurse Practitioner
- Psychiatric/Mental Health
About MATHEW CHACKO
This page provides the complete NPI Profile along with additional information for Mathew Chacko, a provider established in Dallas, Texas with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1104538552 assigned on December 2022. The practitioner's primary taxonomy code is 363LP0808X with license number 1089361 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1104538552
- Provider Name
- MATHEW VADAKKEVEETTIL CHACKO PMHNP-BC
- Other Name
- MATHEW V CHACKO
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4500 S LANCASTER RD DALLAS, TX 75216
- Location Phone
- (214) 727-1031
- Mailing Address
- 306 SUNSET CT SUNNYVALE, TX 75182
- Mailing Phone
- (214) 727-1031
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-16-2022
- Last Update Date
- 12-02-2025
- Code Navigator
A nurse practitioner (NP) like Mathew Chacko is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 2306 Guthrie Rd Ste 260H
Garland, TX 75043
(972) 424-4401 - 202 S 2nd St
Laramie, WY 82070
(323) 205-7088
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
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1089361
- License State
- TX
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) |
|---|---|---|---|---|
| 1 | 163WP0808X | Nursing Service Providers | Registered Nurse | 739088 (TX) |
| 2 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 57478 (WY) |
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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 1104538552, 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 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.
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 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DALLAS, TX 75216
DALLAS, TX 75216
DALLAS, TX 75216
DALLAS, TX 75216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104538552, enumerated as an "individual" on December 16, 2022.
The provider is located at 4500 S LANCASTER RD DALLAS, TX 75216 and the phone number is (214) 727-1031.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
