PRO ACTIVE BEHAVIORAL HEALTH
NPI 1124148176
Psychologist - Rehabilitation in Burley, ID
NPI Status: Active since March 30, 2007
Contact Information
1369 E 16TH ST STE 2
BURLEY, ID
ZIP 83318
Phone: (208) 878-3423
Fax: (208) 878-3424
- Organization
- Psychologist
- Rehabilitation
About PRO ACTIVE BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Pro Active Behavioral Health, a provider established in Burley, Idaho operating as a Psychologist, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1124148176 assigned on March 2007. The practitioner's primary taxonomy code is 103TR0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Pro Active Behavioral Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pro Active Behavioral Health. The authorized official of this NPI record is Frank J Knight (Ceo)
- NPI
- 1124148176
- Provider Legal Name
- PRO ACTIVE ADVANTAGE, LLC
- Other Organization Name
- PRO ACTIVE BEHAVIORAL HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1369 E 16TH ST STE 2 BURLEY, ID 83318
- Location Phone
- (208) 878-3423
- Location Fax
- (208) 878-3424
- Mailing Address
- 562 SHOUP AVE W TWIN FALLS, ID 83301
- Mailing Phone
- (208) 734-0407
- Mailing Fax
- (208) 878-3424
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-30-2007
- Last Update Date
- 09-15-2021
- 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
Psychologist Rehabilitation
- Taxonomy Code
- 103TR0400X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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.
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 |
|---|---|---|---|
| 8073698 | MEDICAID (05) | ID |
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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 1124148176, 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.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124148176, enumerated as an "organization" on March 30, 2007.
The provider is located at 1369 E 16TH ST STE 2 BURLEY, ID 83318 and the phone number is (208) 878-3423.
Psychologist with taxonomy code 103TR0400X and a focus in Rehabilitation.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
