NORTHSHORE CLINIC OF SHEBOYGAN INC
NPI 1326020629
Clinic/Center - Adult Mental Health in Sheboygan, WI

NPI Status: Active since November 14, 2005

Contact Information

615 S 8TH ST
STE G20
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 457-8866
Fax: (920) 457-8867

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About NORTHSHORE CLINIC OF SHEBOYGAN INC

This page provides the complete NPI Profile along with additional information for Northshore Clinic Of Sheboygan Inc, a provider established in Sheboygan, Wisconsin operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1326020629 assigned on November 2005. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ms. Sue A Balog Lcsw (Owner President)

NPI
1326020629
Provider Name
NORTHSHORE CLINIC OF SHEBOYGAN INC
Entity Type
Organization
Location Address
615 S 8TH ST STE G20 SHEBOYGAN, WI 53081
Location Phone
(920) 457-8866
Location Fax
(920) 457-8867
Mailing Address
615 S 8TH ST STE G20 SHEBOYGAN, WI 53081
Mailing Phone
(920) 457-8866
Mailing Fax
(920) 457-8867
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2005
Last Update Date
11-16-2011
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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

MS. SUE A BALOG LCSW

Authorized Official Title
OWNER PRESIDENT
Authorized Official Phone
(920) 457-8866

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
084037MEDICARE ID-TYPE UNSPECIFIED (04)WI 
42233600MEDICAID (05)WI 

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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 1326020629, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
9
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 2 → 4 0 → 0 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 4 + 6 + 0 + 2 + 0 + 6 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1326020629.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Psychologist
615 S 8TH ST, STE G20
SHEBOYGAN, WI 53081
Psychologist
615 S 8TH ST, STE G20
SHEBOYGAN, WI 53081
Counselor (Addiction (Substance Use Disorder))
615 S 8TH ST, STE G20
SHEBOYGAN, WI 53081
Psychologist (Cognitive & Behavioral)
615 S 8TH ST, STE G 20
SHEBOYGAN, WI 53081
Psychologist (Cognitive & Behavioral)
615 S 8TH ST, STE G 20
SHEBOYGAN, WI 53081
Marriage & Family Therapist
615 S 8TH ST, SUITE 220
SHEBOYGAN, WI 53081
Counselor (Professional)
615 S 8TH ST, STE. 220
SHEBOYGAN, WI 53081
Counselor (Professional)
615 S 8TH ST
SHEBOYGAN, WI 53081
Clinic/Center (Mental Health (Including Community Mental Health Center))
615 S 8TH ST, STE 220
SHEBOYGAN, WI 53081
Counselor (Professional)
615 S 8TH ST, SUITE 210
SHEBOYGAN, WI 53081
Counselor (Addiction (Substance Use Disorder))
615 S 8TH ST
SHEBOYGAN, WI 53081
Counselor (Professional)
615 S 8TH ST, SUITE 210
SHEBOYGAN, WI 53081
Counselor (Mental Health)
615 S 8TH ST
SHEBOYGAN, WI 53081
Counselor (Professional)
615 S 8TH ST
SHEBOYGAN, WI 53081
Counselor (Mental Health)
615 S 8TH ST, STE 620
SHEBOYGAN, WI 53081
Marriage & Family Therapist
615 S 8TH ST, STE G20
SHEBOYGAN, WI 53081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326020629, enumerated as an "organization" on November 14, 2005.

The provider is located at 615 S 8TH ST STE G20 SHEBOYGAN, WI 53081 and the phone number is (920) 457-8866.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

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