KATHRYN BULTMAN
NPI 1124120670
Social Worker - Clinical in Grand Rapids, MI

NPI Status: Active since September 05, 2006

Contact Information

1179 E PARIS AVE SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 460-1857
Fax: (616) 454-0061

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  • Organization
  • Social Worker
  • Clinical

About KATHRYN BULTMAN

This page provides the complete NPI Profile along with additional information for Kathryn Bultman, a provider established in Grand Rapids, Michigan operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1124120670 assigned on September 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 6801082187 (MI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Kathryn Bultman. The authorized official of this NPI record is Ms. Kathryn Bultman Lmsw (Clinical Social Worker)

NPI
1124120670
Provider Legal Name
KATHRYN BULTMAN L.L.C.
Other Organization Name
KATHRYN BULTMAN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1179 E PARIS AVE SE GRAND RAPIDS, MI 49546
Location Phone
(616) 460-1857
Location Fax
(616) 454-0061
Mailing Address
2231 RIDGECROFT AVE SE GRAND RAPIDS, MI 49546
Mailing Phone
(616) 460-1857
Mailing Fax
(616) 454-0061
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2006
Last Update Date
08-22-2020
Code Navigator

A clinical social worker like Kathryn Bultman is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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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

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
6801082187
License State
MI
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MS. KATHRYN BULTMAN LMSW

Authorized Official Title
CLINICAL SOCIAL WORKER
Authorized Official Phone
(616) 460-1857

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
1316972706OTHER (01)MIINDIVIDUAL NPI

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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 1124120670, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
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 2 → 4 1 → 2 0 → 0 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 + 4 + 4 + 2 + 2 + 0 + 6 + 1 + 4 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1124120670.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1179 E PARIS AVE SE, SUITE 220
GRAND RAPIDS, MI 49546
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE, SUITE 130
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
1179 E PARIS AVE SE, SUITE # 220
GRAND RAPIDS, MI 49546
Psychologist
1179 E PARIS AVE SE, STE. 220
GRAND RAPIDS, MI 49546
Otolaryngology (Plastic Surgery within the Head & Neck)
1179 E PARIS AVE SE, SUITE 102
GRAND RAPIDS, MI 49546
Allergy & Immunology
1179 E PARIS AVE SE, SUITE 150
GRAND RAPIDS, MI 49546
Nurse Practitioner
1179 E PARIS AVE SE, SUITE 150
GRAND RAPIDS, MI 49546
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Otolaryngology (Plastic Surgery within the Head & Neck)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Otolaryngology (Facial Plastic Surgery)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Otolaryngology (Facial Plastic Surgery)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Clinic/Center (Adult Mental Health)
1179 E PARIS AVE SE, SUITE 220
GRAND RAPIDS, MI 49546
Psychiatry & Neurology (Psychiatry)
1179 E PARIS AVE SE, STE. 220
GRAND RAPIDS, MI 49546
Colon & Rectal Surgery
1179 E PARIS AVE SE, STE. 200
GRAND RAPIDS, MI 49546
Ophthalmology
1179 E PARIS AVE SE, 250
GRAND RAPIDS, MI 49546
Marriage & Family Therapist
1179 E PARIS AVE SE, SUITE 220
GRAND RAPIDS, MI 49546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124120670, enumerated as an "organization" on September 05, 2006.

The provider is located at 1179 E PARIS AVE SE GRAND RAPIDS, MI 49546 and the phone number is (616) 460-1857.

Social Worker with taxonomy code 1041C0700X 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.