PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
NPI 1184370504
Psychiatry & Neurology - Psychiatry in Wauchula, FL

NPI Status: Active since February 24, 2022

Contact Information

213 E ORANGE ST
WAUCHULA, FL
ZIP 33873
Phone: (863) 519-0575
Fax: (863) 582-9251

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC

This page provides the complete NPI Profile along with additional information for Peace River Center For Personal Development Inc, a provider established in Wauchula, Florida operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1184370504 assigned on February 2022. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Peace River Center For Personal Development Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jo Deck Ba, Cpc (Credentialing Specialist)

NPI
1184370504
Provider Name
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Entity Type
Organization
Location Address
213 E ORANGE ST WAUCHULA, FL 33873
Location Phone
(863) 519-0575
Location Fax
(863) 582-9251
Mailing Address
PO BOX 1559 BARTOW, FL 33831
Mailing Phone
(863) 519-0575
Mailing Fax
(863) 582-9251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-24-2022
Last Update Date
02-24-2022
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A psychiatrist like Peace River Center For Personal Development Inc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

JO DECK BA, CPC

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(863) 519-0575

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
060310421MEDICAID (05)FL 

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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 1184370504, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 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 8 → 16 → 7 3 → 6 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 6 + 7 + 0 + 5 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1184370504.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Community Health Worker
213 E ORANGE ST
WAUCHULA, FL 33873
Community Health Worker
213 E ORANGE ST
WAUCHULA, FL 33873
Community Health Worker
213 E ORANGE ST
WAUCHULA, FL 33873
Nurse Practitioner
213 E ORANGE ST
WAUCHULA, FL 33873
Licensed Practical Nurse
213 E ORANGE ST
WAUCHULA, FL 33873
Social Worker (Clinical)
213 E ORANGE ST, STE B
WAUCHULA, FL 33873
Case Manager/Care Coordinator
213 E ORANGE ST
WAUCHULA, FL 33873
Counselor (Mental Health)
213 E ORANGE ST
WAUCHULA, FL 33873

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184370504, enumerated as an "organization" on February 24, 2022.

The provider is located at 213 E ORANGE ST WAUCHULA, FL 33873 and the phone number is (863) 519-0575.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

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