DR. JAMES PHILLIP ETZKORN PH.D.
NPI 1275523904
Psychologist - Counseling in Ann Arbor, MI

NPI Status: Active since October 25, 2005

Contact Information

400 MAYNARD ST
SUITE 603
ANN ARBOR, MI
ZIP 48104
Phone: (734) 913-9761
Fax: (734) 222-7054

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  • Individual
  • Male
  • Psychologist
  • Counseling
  • Accepts Insurance

About JAMES ETZKORN

This page provides the complete NPI Profile along with additional information for James Etzkorn, a provider established in Ann Arbor, Michigan with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1275523904 assigned on October 2005. The practitioner's primary taxonomy code is 103TC1900X with license number 6301009499 (MI). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1275523904
Provider Name
DR. JAMES PHILLIP ETZKORN PH.D.
Gender
Male
Entity Type
Individual
Location Address
400 MAYNARD ST SUITE 603 ANN ARBOR, MI 48104
Location Phone
(734) 913-9761
Location Fax
(734) 222-7054
Mailing Address
400 MAYNARD ST SUITE 603 ANN ARBOR, MI 48104
Mailing Phone
(734) 913-9761
Mailing Fax
(734) 222-7054
Is Sole Proprietor?
Yes
Enumeration Date
10-25-2005
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

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
6301009499
License State
MI
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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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 1275523904, 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
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
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 7 → 14 → 5 5 → 10 → 1 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 0 + 2 + 6 + 9 + 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 1275523904.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Psychologist (Clinical)
400 MAYNARD ST, SUITE 503
ANN ARBOR, MI 48104
Psychologist
400 MAYNARD ST, SUITE 808
ANN ARBOR, MI 48104
Psychologist (Clinical)
400 MAYNARD ST, SUITE 906
ANN ARBOR, MI 48104
Psychologist (Clinical)
400 MAYNARD ST, SUITE 906
ANN ARBOR, MI 48104
Psychologist
400 MAYNARD ST, SUITE 806
ANN ARBOR, MI 48104
Psychologist (Clinical)
400 MAYNARD ST, 1006
ANN ARBOR, MI 48104
Social Worker (Clinical)
400 MAYNARD ST, 803
ANN ARBOR, MI 48104
Social Worker (Clinical)
400 MAYNARD ST, SUITE 206
ANN ARBOR, MI 48104
Psychologist
400 MAYNARD ST, #703
ANN ARBOR, MI 48104
Psychologist
400 MAYNARD ST, SUITE 706
ANN ARBOR, MI 48104
Community/Behavioral Health
400 MAYNARD ST, APT 202
ANN ARBOR, MI 48104
Psychologist (Clinical)
400 MAYNARD ST, #1003
ANN ARBOR, MI 48104
Marriage & Family Therapist
400 MAYNARD ST, SUITE #503
ANN ARBOR, MI 48104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275523904, enumerated as an "individual" on October 25, 2005.

The provider is located at 400 MAYNARD ST SUITE 603 ANN ARBOR, MI 48104 and the phone number is (734) 913-9761.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.