DR. MICHAEL JAMES VREDEVOOGD PH.D.
NPI 1205985397
Clinical Neuropsychologist in Clinton Township, MI

NPI Status: Active since January 09, 2007

Contact Information

36385 HARPER AVE
CLINTON TOWNSHIP, MI
ZIP 48035
Phone: (586) 741-0295
Fax: (586) 792-5190

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  • Individual
  • Male
  • Clinical Neuropsychologist

About MICHAEL VREDEVOOGD

This page provides the complete NPI Profile along with additional information for Michael Vredevoogd, a provider established in Clinton Township, Michigan with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1205985397 assigned on January 2007. The practitioner's primary taxonomy code is 103G00000X with license number 63010006531 (MI). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1205985397
Provider Name
DR. MICHAEL JAMES VREDEVOOGD PH.D.
Gender
Male
Entity Type
Individual
Location Address
36385 HARPER AVE CLINTON TOWNSHIP, MI 48035
Location Phone
(586) 741-0295
Location Fax
(586) 792-5190
Mailing Address
50081 SASS RD CHESTERFIELD, MI 48047
Mailing Phone
(586) 530-7919
Mailing Fax
(586) 792-5190
Is Sole Proprietor?
Yes
Enumeration Date
01-09-2007
Last Update Date
07-08-2007
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
63010006531
License State
MI
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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.

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
N84270001MEDICARE ID-TYPE UNSPECIFIED (04)MI 
680EO1478OTHER (01)MIBLUE CROSS BLUE SHIELD

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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 1205985397, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 0 → 0 9 → 18 → 9 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 1 + 8 + 8 + 1 + 0 + 3 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1205985397.

Other Providers at the Same Location


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

Clinical Neuropsychologist
36385 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Neuromusculoskeletal Medicine & OMM
36385 HARPER AVE
CLINTON TWP, MI 48035
Family Medicine (Sports Medicine)
36385 HARPER AVE
CLINTON TWP, MI 48035
Neuromusculoskeletal Medicine & OMM
36385 HARPER AVE
CLINTON TOWNSHIP, MI 48035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205985397, enumerated as an "individual" on January 09, 2007.

The provider is located at 36385 HARPER AVE CLINTON TOWNSHIP, MI 48035 and the phone number is (586) 741-0295.

Clinical Neuropsychologist with taxonomy code 103G00000X.

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