TEN BROECK TENNESSEE
NPI 1194088112
Psychiatric Hospital in Cookeville, TN

NPI Status: Active since June 25, 2012

Contact Information

1 MEDICAL CENTER BLVD
5 WEST
COOKEVILLE, TN
ZIP 38501
Phone: (931) 783-2570
Fax: (931) 783-2579

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  • Organization
  • Psychiatric Hospital

About TEN BROECK TENNESSEE

This page provides the complete NPI Profile along with additional information for Ten Broeck Tennessee, a provider established in Cookeville, Tennessee operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1194088112 assigned on June 2012. The practitioner's primary taxonomy code is 283Q00000X with license number I000000011394 (TN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Ten Broeck Tennessee. The authorized official of this NPI record is David Corddry (Chief Financial Officer)

NPI
1194088112
Provider Legal Name
PREMIERCARE TENNESSEE INC
Other Organization Name
TEN BROECK TENNESSEE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 MEDICAL CENTER BLVD 5 WEST COOKEVILLE, TN 38501
Location Phone
(931) 783-2570
Location Fax
(931) 783-2579
Mailing Address
603 MAIN ST WINDERMERE, FL 34786
Mailing Phone
(407) 876-2200
Mailing Fax
(931) 783-2579
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2012
Last Update Date
01-10-2013
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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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
License No.
I000000011394
License State
TN
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

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)
1283Q00000XHospitals

Psychiatric Hospital

I000000012016 (TN)

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

DAVID CORDDRY

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(407) 876-2200

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
444022MEDICARE OSCAR/CERTIFICATION (06) 

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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 1194088112, 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.

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
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 8 → 16 → 7 1 → 2

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 + 8 + 1 + 6 + 1 + 2 + 24 = 58

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.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1194088112.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Internal Medicine
1 MEDICAL CENTER BLVD, SUITE 103
COOKEVILLE, TN 38501
Emergency Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Radiology (Radiation Oncology)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Pediatrics
1 MEDICAL CENTER BLVD, SUITE 103
COOKEVILLE, TN 38501
Nurse Practitioner (Pediatrics)
1 MEDICAL CENTER BLVD, SUITE 103
COOKEVILLE, TN 38501
Nurse Practitioner
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Specialist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Pharmacist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Emergency Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Dietitian, Registered
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Dietitian, Registered
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Pharmacist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Internal Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Pharmacy Technician
1 MEDICAL CENTER BLVD, PHARMACY DEPARTMENT
COOKEVILLE, TN 38501
Physician Assistant (Medical)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Emergency Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Occupational Therapist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194088112, enumerated as an "organization" on June 25, 2012.

The provider is located at 1 MEDICAL CENTER BLVD 5 WEST COOKEVILLE, TN 38501 and the phone number is (931) 783-2570.

Psychiatric Hospital with taxonomy code 283Q00000X.

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