J PATRICK DUIVEN PSYD PC
NPI 1124328265
Psychologist - Clinical in Grand Rapids, MI

NPI Status: Active since October 22, 2010

Contact Information

4133 EMBASSY DR SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 956-6700
Fax: (616) 956-6773

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  • Organization
  • Psychologist
  • Clinical

About J PATRICK DUIVEN PSYD PC

This page provides the complete NPI Profile along with additional information for J Patrick Duiven Psyd Pc, a provider established in Grand Rapids, Michigan operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1124328265 assigned on October 2010. The practitioner's primary taxonomy code is 103TC0700X with license number 6301002423 (MI). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. J Patrick Duiven Psyd (President/owner)

NPI
1124328265
Provider Name
J PATRICK DUIVEN PSYD PC
Entity Type
Organization
Location Address
4133 EMBASSY DR SE GRAND RAPIDS, MI 49546
Location Phone
(616) 956-6700
Location Fax
(616) 956-6773
Mailing Address
4133 EMBASSY DR SE GRAND RAPIDS, MI 49546
Mailing Phone
(616) 956-6700
Mailing Fax
(616) 956-6773
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2010
Last Update Date
10-22-2010
Code Navigator

A clinical psychologist like J Patrick Duiven Psyd Pc 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.

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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

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
6301002423
License State
MI
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.

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

DR. J PATRICK DUIVEN PSYD

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(616) 956-6700

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
ON11770MEDICARE PIN (08)MI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124328265
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21446216212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 6 + 2 + 1 + 6 + 2 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1124328265 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. J. PATRICK DUIVEN PSY.D.

Psychologist

(Clinical)

4133 EMBASSY DR SE
GRAND RAPIDS, MI
ZIP 49546

(616) 956-6700

ROBERT W VAN NOORD PC

Clinic/Center

(Adult Mental Health)

4133 EMBASSY DR SE
GRAND RAPIDS, MI
ZIP 49546

(616) 956-6700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124328265, enumerated as an "organization" on October 22, 2010.

The provider is located at 4133 EMBASSY DR SE GRAND RAPIDS, MI 49546 and the phone number is (616) 956-6700.

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.