INNOVATIVE BEHAVIORAL HEALTH
NPI 1164035051
Clinic/Center in Lansing, MI

NPI Status: Active since August 28, 2020

Contact Information

3721 W MICHIGAN AVE STE 200
LANSING, MI
ZIP 48917
Phone: (517) 515-6176

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  • Organization
  • Clinic/Center

About INNOVATIVE BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Innovative Behavioral Health, a provider established in Lansing, Michigan operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1164035051 assigned on August 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ricardo David Tillery Mba, Lcsw, Sap (Ceo)

NPI
1164035051
Provider Name
INNOVATIVE BEHAVIORAL HEALTH
Entity Type
Organization
Location Address
3721 W MICHIGAN AVE STE 200 LANSING, MI 48917
Location Phone
(517) 515-6176
Mailing Address
3721 W MICHIGAN AVE STE 200 LANSING, MI 48917
Mailing Phone
(517) 515-6176
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-28-2020
Last Update Date
08-28-2020
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1251B00000XAgencies

Case Management

 
2251E00000XAgencies

Home Health

 
3251S00000XAgencies

Community/Behavioral Health

 
4261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

 
5261QM0801XAmbulatory Health Care Facilities

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

 
6261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
7261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 
8261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
9320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

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

RICARDO DAVID TILLERY MBA, LCSW, SAP

Authorized Official Title
CEO
Authorized Official Phone
(517) 703-3387

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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 1164035051, 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 39. The final step is to find the difference between that total and the next multiple of ten (40 - 39 = 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 6 → 12 → 3 0 → 0 5 → 10 → 1 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 + 1 + 2 + 4 + 0 + 3 + 1 + 0 + 0 + 1 + 0 + 24 = 39

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

The next multiple of ten after 39 is 40. The difference is the calculated check digit.

40 - 39 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1164035051.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Clinic/Center (Corporate Health)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Non-emergency Medical Transport (VAN)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Social Worker (Clinical)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Clinic/Center (Rehabilitation, Substance Use Disorder)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Home Health
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Social Worker (Clinical)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Social Worker (Clinical)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Community/Behavioral Health
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Clinic/Center (Health Service)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Community/Behavioral Health
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917
Clinic/Center (Multi-Specialty)
3721 W MICHIGAN AVE STE 200
LANSING, MI 48917

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164035051, enumerated as an "organization" on August 28, 2020.

The provider is located at 3721 W MICHIGAN AVE STE 200 LANSING, MI 48917 and the phone number is (517) 515-6176.

Clinic/Center with taxonomy code 261Q00000X.