MADISON CENTER, INC.
NPI 1104974989
Psychiatric Residential Treatment Facility in South Bend, IN

NPI Status: Active since January 08, 2007

Contact Information

403 E MADISON ST
SOUTH BEND, IN
ZIP 46617
Phone: (574) 231-0061
Fax: (574) 283-1209

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About MADISON CENTER, INC.

This page provides the complete NPI Profile along with additional information for Madison Center, Inc., a provider established in South Bend, Indiana operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1104974989 assigned on January 2007. The practitioner's primary taxonomy code is 323P00000X with license number 406-1-PIP (IN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Brenda J Clanton Iii (Contracts Manager)

NPI
1104974989
Provider Name
MADISON CENTER, INC.
Entity Type
Organization
Location Address
403 E MADISON ST SOUTH BEND, IN 46617
Location Phone
(574) 231-0061
Location Fax
(574) 283-1209
Mailing Address
403 E MADISON ST SOUTH BEND, IN 46617
Mailing Phone
(574) 231-0061
Mailing Fax
(574) 283-1209
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-08-2007
Last Update Date
04-07-2010
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
406-1-PIP
License State
IN
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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.

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

BRENDA J CLANTON III

Authorized Official Title
CONTRACTS MANAGER
Authorized Official Phone
(574) 283-1107

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
955190MEDICARE ID-TYPE UNSPECIFIED (04)IN 
200495360AMEDICAID (05)IN 
237580MEDICARE ID-TYPE UNSPECIFIED (04)IN 
237590MEDICARE ID-TYPE UNSPECIFIED (04)IN 

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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 1104974989, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 9 → 18 → 9 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 8 + 7 + 8 + 9 + 1 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104974989.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Psychiatry & Neurology (Psychiatry)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Nurse Practitioner (Psychiatric/Mental Health)
403 E MADISON ST
SOUTH BEND, IN 46617
Clinical Nurse Specialist (Psychiatric/Mental Health)
403 E MADISON ST
SOUTH BEND, IN 46617
Psychologist (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Counselor (Mental Health)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104974989, enumerated as an "organization" on January 08, 2007.

The provider is located at 403 E MADISON ST SOUTH BEND, IN 46617 and the phone number is (574) 231-0061.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.