PHYSICIANS MENTAL HEALTH SERVICES
NPI 1194063750
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pocatello, ID

NPI Status: Active since January 16, 2013

Contact Information

475 YELLOWSTONE AVE
SUITE E
POCATELLO, ID
ZIP 83201
Phone: (208) 478-7422
Fax: (208) 478-1515

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About PHYSICIANS MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Physicians Mental Health Services, a provider established in Pocatello, Idaho operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1194063750 assigned on January 2013. The practitioner's primary taxonomy code is 261QM0801X with license number 0314 (ID). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Matthew Andersen Lpc (Director)

NPI
1194063750
Provider Name
PHYSICIANS MENTAL HEALTH SERVICES
Entity Type
Organization
Location Address
475 YELLOWSTONE AVE SUITE E POCATELLO, ID 83201
Location Phone
(208) 478-7422
Location Fax
(208) 478-1515
Mailing Address
1110 CALL CREEK DR SUITE 7 POCATELLO, ID 83201
Mailing Phone
(208) 232-0021
Mailing Fax
(208) 478-1515
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-16-2013
Last Update Date
04-25-2016
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
0314
License State
ID

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

MR. MATTHEW ANDERSEN LPC

Authorized Official Title
DIRECTOR
Authorized Official Phone
(208) 232-0021

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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 1194063750, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
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 9 → 18 → 9 0 → 0 3 → 6 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 + 8 + 4 + 0 + 6 + 6 + 7 + 1 + 0 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1194063750.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
475 YELLOWSTONE AVE, STE D
POCATELLO, ID 83201
Dentist (General Practice)
475 YELLOWSTONE AVE, STE D
POCATELLO, ID 83201
Counselor (Mental Health)
475 YELLOWSTONE AVE, STE E
POCATELLO, ID 83201
Counselor (Mental Health)
475 YELLOWSTONE AVE, STE E
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194063750, enumerated as an "organization" on January 16, 2013.

The provider is located at 475 YELLOWSTONE AVE SUITE E POCATELLO, ID 83201 and the phone number is (208) 478-7422.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).