DR. GREGORY NICHOLAS ESSIG PH.D.
NPI 1164702924
Psychologist - Counseling in Mishawaka, IN
NPI Status: Active since August 25, 2011
Contact Information
3625 PARK PL W
SUITE 150
MISHAWAKA, IN
ZIP 46545
Phone: (574) 282-1090
Fax: (866) 540-3094
- Individual
- Male
- Psychologist
- Counseling
- PECOS Enrolled
- Opted-Out Medicare
About GREGORY ESSIG
This page provides the complete NPI Profile along with additional information for Gregory Essig, a provider established in Mishawaka, Indiana with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1164702924 assigned on August 2011. The practitioner's primary taxonomy code is 103TC1900X with license number 20042533A (IN). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1164702924
- Provider Name
- DR. GREGORY NICHOLAS ESSIG PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3625 PARK PL W SUITE 150 MISHAWAKA, IN 46545
- Location Phone
- (574) 282-1090
- Location Fax
- (866) 540-3094
- Mailing Address
- 3625 PARK PL W SUITE 150 MISHAWAKA, IN 46545
- Mailing Phone
- (574) 282-1090
- Mailing Fax
- (866) 540-3094
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2011
- Last Update Date
- 07-07-2016
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Gregory Essig opted out of Medicare effective on 03-06-2017 until 03-06-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Psychologist Counseling
- Taxonomy Code
- 103TC1900X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 20042533A
- License State
- IN
- Taxonomy Description
- A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
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.
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 |
|---|---|---|---|
| 12278137 | OTHER (01) | CAQH UNIVERSAL PROVIDER DATASOURCE |
Medicare Participation & PECOS Enrollment Status
Gregory Essig is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-06-2017
Opt-Out End Date: 03-06-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. GREGORY NICHOLAS ESSIG PH.D.
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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 | 6 | 4 | 7 | 0 | 2 | 9 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 14 | 0 | 4 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 4 + 0 + 4 + 9 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1164702924 is valid because the calculated check digit 4 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.
RICHARD JOEL WEIN MD
Internal Medicine
3625 PARK PL W
STE 100
MISHAWAKA, IN
ZIP 46545
FEATHERGILL & ASSOCIATES LLC
Psychologist
(Clinical)
3625 PARK PL W
SUITE 150
MISHAWAKA, IN
ZIP 46545
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164702924, enumerated as an "individual" on August 25, 2011.
The provider is located at 3625 PARK PL W SUITE 150 MISHAWAKA, IN 46545 and the phone number is (574) 282-1090.
Psychologist with taxonomy code 103TC1900X and a focus in Counseling.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
