MICHAEL VREDEVOOGD PC
NPI 1114108974
Clinical Neuropsychologist in Clinton Township, MI

NPI Status: Active since November 21, 2007

Contact Information

36385 HARPER AVE
CLINTON TOWNSHIP, MI
ZIP 48035
Phone: (586) 741-0295

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  • Organization
  • Clinical Neuropsychologist

About MICHAEL VREDEVOOGD PC

This page provides the complete NPI Profile along with additional information for Michael Vredevoogd Pc, a provider established in Clinton Township, Michigan operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1114108974 assigned on November 2007. The practitioner's primary taxonomy code is 103G00000X with license number 63010066531 (MI). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Michael James Vredevoogd (President)

NPI
1114108974
Provider Name
MICHAEL VREDEVOOGD PC
Entity Type
Organization
Location Address
36385 HARPER AVE CLINTON TOWNSHIP, MI 48035
Location Phone
(586) 741-0295
Mailing Address
36385 HARPER AVE CLINTON TOWNSHIP, MI 48035
Mailing Phone
(586) 741-0295
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2007
Last Update Date
11-21-2007
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
63010066531
License State
MI
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

63010066531 (MI)

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

DR. MICHAEL JAMES VREDEVOOGD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(586) 741-0295

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
ON84270MEDICARE PIN (08)MI 

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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 1114108974, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 1 → 2 1 → 2 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 0 + 1 + 6 + 9 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114108974.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinical Neuropsychologist
36385 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Neuromusculoskeletal Medicine & OMM
36385 HARPER AVE
CLINTON TWP, MI 48035
Family Medicine (Sports Medicine)
36385 HARPER AVE
CLINTON TWP, MI 48035
Neuromusculoskeletal Medicine & OMM
36385 HARPER AVE
CLINTON TOWNSHIP, MI 48035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114108974, enumerated as an "organization" on November 21, 2007.

The provider is located at 36385 HARPER AVE CLINTON TOWNSHIP, MI 48035 and the phone number is (586) 741-0295.

Clinical Neuropsychologist with taxonomy code 103G00000X.

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