NCADD-IMPACT ADOLESCENT HEALTH CENTER
NPI 1134341092
Substance Abuse Rehabilitation Facility in Detroit, MI
NPI Status: Active since May 02, 2007
Contact Information
5555 CONNER ST
2000 NORTH
DETROIT, MI
ZIP 48213
Phone: (313) 921-8102
Fax: (313) 921-4184
- Organization
- Substance Abuse Rehabilitation Facility
About NCADD-IMPACT ADOLESCENT HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Ncadd-impact Adolescent Health Center, a provider established in Detroit, Michigan operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1134341092 assigned on May 2007. The practitioner's primary taxonomy code is 324500000X with license number C1820235935 (MI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ms. Laverne Denise Mcglothian Foadp (Office Manager)
- NPI
- 1134341092
- Provider Name
- NCADD-IMPACT ADOLESCENT HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 5555 CONNER ST 2000 NORTH DETROIT, MI 48213
- Location Phone
- (313) 921-8102
- Location Fax
- (313) 921-4184
- Mailing Address
- 488 FRAZIER ST RIVER ROUGE, MI 48218
- Mailing Phone
- (313) 551-3815
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2007
- Last Update Date
- 08-14-2008
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- C1820235935
- License State
- MI
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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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. | |||||||||
| 1 | 1 | 3 | 4 | 3 | 4 | 1 | 0 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 6 | 4 | 2 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 6 + 4 + 2 + 0 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1134341092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
TRACEY E CHAN NP
Nurse Practitioner
5555 CONNER ST
STE 2691
DETROIT, MI
ZIP 48213
UNIVERSITY OF DETROIT MERCY
Nurse Practitioner
5555 CONNER ST
STE 2691
DETROIT, MI
ZIP 48213
SANDRA MCCLENDON CUMMINGS LLMSW
Social Worker
(Clinical)
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
KEVIN DUANE KROSBY AA
Counselor
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
SHIRLEY M PAYNE LLMSW
Social Worker
(Clinical)
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
GAIL ANN BRYANT LMSW
Social Worker
(Clinical)
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
MAURICE RANDOLPH GADDIE LBSW
Social Worker
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
MRS. LYNETTE MARIE ISH MS, FAODP
Counselor
(Addiction (Substance Use Disorder))
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
ERROLL CONWAY YOUNG LBSW
Social Worker
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
NICOLA M WALKER MA
Counselor
(Addiction (Substance Use Disorder))
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
DARLEEN WHITLOW RN
Registered Nurse
(Community Health)
5555 CONNER ST
SUITE 1000 SOUTH
DETROIT, MI
ZIP 48213
MS. TRACY HILLARY BISHOP MSW
Social Worker
(Clinical)
5555 CONNER ST
SUITE 2000
DETROIT, MI
ZIP 48213
SUSAN ANNE CADWELL MA LPC
Case Manager/Care Coordinator
5555 CONNER ST
DETROIT, MI
ZIP 48213
LAVERNE DENISE MCGLOTHIAN CAC
Substance Abuse Rehabilitation Facility
(Substance Abuse Treatment, Children)
5555 CONNER ST
2000 NORTH
DETROIT, MI
ZIP 48213
GENTLE CARE SERVICES, LLC
Home Health
5555 CONNER ST
2090
DETROIT, MI
ZIP 48213
MELANIE YVONNE WAYNE
Counselor
5555 CONNER ST
STE. 2000
DETROIT, MI
ZIP 48213
MS. SANDRA M SCHIFF LMSW, PH.D.
Counselor
(Mental Health)
5555 CONNER ST
STE. 1000 SOUTH
DETROIT, MI
ZIP 48213
MRS. ANDREA DENISE ESU RN, BSN
Registered Nurse
(Psychiatric/Mental Health)
5555 CONNER ST
SUITE 1000, SOUTH
DETROIT, MI
ZIP 48213
TOTAL COMPREHENSIVE BEHAVIORAL CARE
Community/Behavioral Health
5555 CONNER ST
DETROIT, MI
ZIP 48213
LISA M. BRAUSCH LLMSW
Social Worker
(Clinical)
5555 CONNER ST
1000 SOUTH
DETROIT, MI
ZIP 48213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134341092, enumerated as an "organization" on May 02, 2007.
The provider is located at 5555 CONNER ST 2000 NORTH DETROIT, MI 48213 and the phone number is (313) 921-8102.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
