FAMILY THERAPY INSTITUTE MIDWEST
NPI 1306872064
Psychologist - Clinical Child & Adolescent in Lawrence, KS

NPI Status: Active since June 24, 2006

Contact Information

2619 W. 6TH STREET, SUITE C
LAWRENCE, KS
ZIP 66049
Phone: (785) 830-8299
Fax: (785) 749-2581

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent
  • Accepts Insurance

About FAMILY THERAPY INSTITUTE MIDWEST

This page provides the complete NPI Profile along with additional information for Family Therapy Institute Midwest, a provider established in Lawrence, Kansas operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1306872064 assigned on June 2006. The practitioner's primary taxonomy code is 103TC2200X with license number 0894 (KS). The provider is registered as an organization and their NPI record was last updated 10 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 authorized official of this NPI record is Mary Lu Egidy Aprn (Owner)

NPI
1306872064
Provider Name
FAMILY THERAPY INSTITUTE MIDWEST
Entity Type
Organization
Location Address
2619 W. 6TH STREET, SUITE C LAWRENCE, KS 66049
Location Phone
(785) 830-8299
Location Fax
(785) 749-2581
Mailing Address
2619 W. 6TH STREET, SUITE C LAWRENCE, KS 66049
Mailing Phone
(785) 830-8299
Mailing Fax
(785) 749-2581
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2006
Last Update Date
11-07-2016
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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

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
0894
License State
KS
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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)
1103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

1109 (KS)
2104100000XBehavioral Health & Social Service Providers

Social Worker

6890 (KS)
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

1740 (KS)
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

3569 (KS)
5163WP0807XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Child & Adolescent

46111 (KS)
6163WP0807XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Child & Adolescent

74564 (KS)

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:

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

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

MARY LU EGIDY APRN

Authorized Official Title
OWNER
Authorized Official Phone
(785) 830-8299

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
100297790CMEDICAID (05)KS 
100389740AMEDICAID (05)KS 
100353150AMEDICAID (05)KS 
100353230AMEDICAID (05)KS 

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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 1306872064, 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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 0 → 0 8 → 16 → 7 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 6 + 7 + 4 + 0 + 1 + 2 + 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 1306872064.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306872064, enumerated as an "organization" on June 24, 2006.

The provider is located at 2619 W. 6TH STREET, SUITE C LAWRENCE, KS 66049 and the phone number is (785) 830-8299.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

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