INDIANA CENTER FOR COGNITIVE BEHAVIOR THERAPY
NPI 1285839480
Psychologist - Prescribing (Medical) in Ft. Wayne, IN
NPI Status: Active since June 18, 2007
Contact Information
423 AIRPORT N. OFFICE PARK
FT. WAYNE, IN
ZIP 46825
Phone: (260) 969-5583
Fax: (260) 969-5584
- Organization
- Psychologist
- Prescribing (Medical)
About INDIANA CENTER FOR COGNITIVE BEHAVIOR THERAPY
This page provides the complete NPI Profile along with additional information for Indiana Center For Cognitive Behavior Therapy, a provider established in Ft. Wayne, Indiana operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1285839480 assigned on June 2007. The practitioner's primary taxonomy code is 103TP0016X with license number 70000153A (IN). The provider is registered as an organization and their NPI record was last updated 7 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 Indiana Center For Cognitive Behavior Therapy. The authorized official of this NPI record is Sharon E Freeman Clevenger Pmhcns-bc (Owner)
- NPI
- 1285839480
- Provider Legal Name
- CENTER FOR BRIEF THERAPY PC
- Other Organization Name
- INDIANA CENTER FOR COGNITIVE BEHAVIOR THERAPY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 423 AIRPORT N. OFFICE PARK FT. WAYNE, IN 46825
- Location Phone
- (260) 969-5583
- Location Fax
- (260) 969-5584
- Mailing Address
- 423 AIRPORT N. OFFICE PARK FORT. WAYNE, IN 46825
- Mailing Phone
- (260) 969-5583
- Mailing Fax
- (260) 969-5584
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2007
- Last Update Date
- 04-23-2019
- 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 Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 70000153A
- License State
- IN
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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 | 103TH0100X | Behavioral Health & Social Service Providers | Psychologist | 20042050A (IN) |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 35001565A (IN) |
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.
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.
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 |
|---|---|---|---|
| 376137 | OTHER (01) | IN | ANTHEM |
| 386107 | OTHER (01) | IN | ANTHEM |
| 7585825 | OTHER (01) | IN | AETNA |
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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 1285839480, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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.
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 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285839480, enumerated as an "organization" on June 18, 2007.
The provider is located at 423 AIRPORT N. OFFICE PARK FT. WAYNE, IN 46825 and the phone number is (260) 969-5583.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).
The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.
