CREATIVE RENEWAL & RESOLUTIONS
NPI 1184915472
Psychologist - Health Service in Springfield, MO
NPI Status: Active since April 21, 2011
Contact Information
1531 E BRADFORD PKWY
STE 210-4
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 890-4083
Fax: (417) 890-4091
- Organization
- Psychologist
- Health Service
About CREATIVE RENEWAL & RESOLUTIONS
This page provides the complete NPI Profile along with additional information for Creative Renewal & Resolutions, a provider established in Springfield, Missouri operating as a Psychologist, focusing in health service . The healthcare provider is registered in the NPI registry with number 1184915472 assigned on April 2011. The practitioner's primary taxonomy code is 103TH0100X with license number 2009026793 (MO). The provider is registered as an organization and their NPI record was last updated 15 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 Creative Renewal & Resolutions. The authorized official of this NPI record is Dr. David L Black Psyd, Lcsw (Owner, Managing Member)
- NPI
- 1184915472
- Provider Legal Name
- CREATIVE RENEWAL & RESOLUTIONS, LLC
- Other Organization Name
- CREATIVE RENEWAL & RESOLUTIONS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1531 E BRADFORD PKWY STE 210-4 SPRINGFIELD, MO 65804
- Location Phone
- (417) 890-4083
- Location Fax
- (417) 890-4091
- Mailing Address
- 1531 E BRADFORD PKWY STE 210-4 SPRINGFIELD, MO 65804
- Mailing Phone
- (417) 890-4083
- Mailing Fax
- (417) 890-4091
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-21-2011
- Last Update Date
- 04-21-2011
- Code Navigator
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 Health Service
- Taxonomy Code
- 103TH0100X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2009026793
- License State
- MO
- Taxonomy Description
- A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | 2009026793 (MO) |
| 2 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | 2009026793 (MO) |
| 3 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 2009026793 (MO) |
| 4 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | 2009026793 (MO) |
| 5 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 2009026793 (MO) |
| 6 | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | 2009026793 (MO) |
| 7 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 2001004284 (MO) |
| 8 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 2001004284 (MO) |
Group Taxonomy 193400000X MULTIPLE 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.
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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 1184915472, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184915472, enumerated as an "organization" on April 21, 2011.
The provider is located at 1531 E BRADFORD PKWY STE 210-4 SPRINGFIELD, MO 65804 and the phone number is (417) 890-4083.
Psychologist with taxonomy code 103TH0100X and a focus in Health Service.
