RIVER OF LIFE SERVICES
NPI 1144400011
Internal Medicine - Addiction Medicine in St Louis Park, MN

NPI Status: Active since November 08, 2007

Contact Information

6200 EXCELSIOR BLVD
#202
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 548-9344
Fax: (952) 548-9344

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  • Organization
  • Internal Medicine
  • Addiction Medicine

About RIVER OF LIFE SERVICES

This page provides the complete NPI Profile along with additional information for River Of Life Services, an internist established in St Louis Park, Minnesota operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1144400011 assigned on November 2007. The practitioner's primary taxonomy code is 207RA0401X with license number 45852 (MN). The provider is registered as an organization and their NPI record was last updated 19 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 is doing business as River Of Life Services. The authorized official of this NPI record is Dr. Hayden Donaldson Severin Md (Addictionology/asam Certified)

NPI
1144400011
Provider Legal Name
RIVER OF LIFE SERVICES LLC
Other Organization Name
RIVER OF LIFE SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6200 EXCELSIOR BLVD #202 ST LOUIS PARK, MN 55416
Location Phone
(952) 548-9344
Location Fax
(952) 548-9344
Mailing Address
6200 EXCELSIOR BLVD #202 ST LOUIS PARK, MN 55416
Mailing Phone
(952) 548-9344
Mailing Fax
(952) 548-9344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2007
Last Update Date
11-08-2007
Code Navigator

An internist like River Of Life Services is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
License No.
45852
License State
MN
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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. HAYDEN DONALDSON SEVERIN MD

Authorized Official Title
ADDICTIONOLOGY/ASAM CERTIFIED
Authorized Official Phone
(952) 548-9344

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
C04215MEDICARE PIN (08)MN 
B15531MEDICARE UPIN (02)NY 

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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 1144400011, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 4 → 8 4 → 8 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 8 + 0 + 0 + 0 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1144400011.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Chiropractor (Neurology)
6200 EXCELSIOR BLVD, SUITE 204
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, SUITE 201
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, SUITE 201
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
6200 EXCELSIOR BLVD, STE 202
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, SUITE 203
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, 204
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
6200 EXCELSIOR BLVD, #202
ST LOUIS PARK, MN 55416
Contractor
6200 EXCELSIOR BLVD, SUITE 202
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, #204
ST LOUIS PARK, MN 55416
Psychiatry & Neurology (Addiction Psychiatry)
6200 EXCELSIOR BLVD, SUITE 202
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, SUITE 201
ST LOUIS PARK, MN 55416
Chiropractor
6200 EXCELSIOR BLVD, STE204
ST. LOUIS PARK, MN 55416
Early Intervention Provider Agency
6200 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144400011, enumerated as an "organization" on November 08, 2007.

The provider is located at 6200 EXCELSIOR BLVD #202 ST LOUIS PARK, MN 55416 and the phone number is (952) 548-9344.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.