WANDA DENISE SMITH CPSYC HCPROF
NPI 1114550688
Psychologist - Clinical in Hazel Crest, IL

NPI Status: Active since February 12, 2020

Contact Information

17100 DIXIE HWY STE D
HAZEL CREST, IL
ZIP 60429
Phone: (331) 643-5238
Fax: (708) 991-7320

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  • Individual
  • Female
  • Psychologist
  • Clinical

About WANDA DENISE SMITH

This page provides the complete NPI Profile along with additional information for Wanda Denise Smith, a provider established in Hazel Crest, Illinois with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1114550688 assigned on February 2020. The practitioner's primary taxonomy code is 103TC0700X with license number 8KUSC7H7 (IL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1114550688
Provider Name
WANDA DENISE SMITH CPSYC HCPROF
Other Name
DENISE SMITH CPSYC HCPROF
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
17100 DIXIE HWY STE D HAZEL CREST, IL 60429
Location Phone
(331) 643-5238
Location Fax
(708) 991-7320
Mailing Address
11344 S HERMOSA AVE CHICAGO, IL 60643
Mailing Phone
(331) 643-5238
Is Sole Proprietor?
Yes
Enumeration Date
02-12-2020
Last Update Date
02-12-2020
Code Navigator

A clinical psychologist like Wanda Denise Smith assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

  • 11344 S Hermosa Ave
    Chicago, IL 60643
    (331) 643-5238

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 Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
8KUSC7H7
License State
IL
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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)
1103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

KWN75FB9 (IL)
2172V00000XOther Service Providers

Community Health Worker

8KUSC7H7 (IL)
3261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

8KUSC7H7 (IL)

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.

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
36369473001MEDICAID (05)IL 

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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 1114550688, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 5 → 10 → 1 0 → 0 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 + 2 + 4 + 1 + 0 + 5 + 0 + 6 + 1 + 6 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1114550688.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Addiction Medicine)
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429
Counselor (Addiction (Substance Use Disorder))
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429
Counselor (Addiction (Substance Use Disorder))
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429
Counselor (Addiction (Substance Use Disorder))
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429
Registered Nurse (Addiction (Substance Use Disorder))
17100 DIXIE HWY STE D
HAZEL CREST, IL 60429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114550688, enumerated as an "individual" on February 12, 2020.

The provider is located at 17100 DIXIE HWY STE D HAZEL CREST, IL 60429 and the phone number is (331) 643-5238.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

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