SOUTH SHORE MENTAL HEALTH
NPI 1114280286
Exclusive Provider Organization in Stoughton, MA
NPI Status: Active since June 22, 2012
Contact Information
16 PENNIMAN CIRCLE
STOUGHTON, MA
ZIP 02072
Phone: (781) 408-6056
- Organization
- Exclusive Provider Organization
About SOUTH SHORE MENTAL HEALTH
This page provides the complete NPI Profile along with additional information for South Shore Mental Health, a provider established in Stoughton, Massachusetts operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1114280286 assigned on June 2012. The practitioner's primary taxonomy code is 302F00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Jonathan Prone (Family Support Worker)
- NPI
- 1114280286
- Provider Name
- SOUTH SHORE MENTAL HEALTH
- Entity Type
- Organization
- Location Address
- 16 PENNIMAN CIRCLE STOUGHTON, MA 02072
- Location Phone
- (781) 408-6056
- Mailing Address
- 16 PENNIMAN CIR STOUGHTON, MA 02072
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2012
- Last Update Date
- 06-22-2012
- Code Navigator
Location Map
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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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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 1114280286, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114280286, enumerated as an "organization" on June 22, 2012.
The provider is located at 16 PENNIMAN CIRCLE STOUGHTON, MA 02072 and the phone number is (781) 408-6056.
Exclusive Provider Organization with taxonomy code 302F00000X.
