GOOD SAMARITAN HOUSE OF GRANITE CITY, INC
NPI 1134612054
Clinic/Center - Adolescent and Children Mental Health in Granite City, IL

NPI Status: Active since June 14, 2018

Contact Information

1825 DELMAR AVE
GRANITE CITY, IL
ZIP 62040
Phone: (618) 876-0607

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About GOOD SAMARITAN HOUSE OF GRANITE CITY, INC

This page provides the complete NPI Profile along with additional information for Good Samaritan House Of Granite City, Inc, a provider established in Granite City, Illinois operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1134612054 assigned on June 2018. The practitioner's primary taxonomy code is 261QM0855X with license number 149.019998 (IL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Ms. Latosha R Davis Lcsw (Executive Director)

NPI
1134612054
Provider Name
GOOD SAMARITAN HOUSE OF GRANITE CITY, INC
Entity Type
Organization
Location Address
1825 DELMAR AVE GRANITE CITY, IL 62040
Location Phone
(618) 876-0607
Mailing Address
1825 DELMAR AVE GRANITE CITY, IL 62040
Mailing Phone
(618) 876-0607
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2018
Last Update Date
06-14-2018
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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

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
149.019998
License State
IL
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

149.019998 (IL)
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

149.019998 (IL)

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. LATOSHA R DAVIS LCSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(618) 219-9513

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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 1134612054, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 3 → 6 6 → 12 → 3 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 2 + 1 + 4 + 0 + 1 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1134612054.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Licensed Practical Nurse
1825 DELMAR AVE
GRANITE CITY, IL 62040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134612054, enumerated as an "organization" on June 14, 2018.

The provider is located at 1825 DELMAR AVE GRANITE CITY, IL 62040 and the phone number is (618) 876-0607.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.