MICHAELA ANTJE SQUIRE DO
NPI 1376164061
Psychiatry & Neurology - Epilepsy
in Salt Lake City, UT
NPI Status: Active since May 04, 2020
Contact Information
81 N MARIO CAPECCHI DR RM 4B096
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 581-2121
- Individual
- Female
- Psychiatry & Neurology
- Epilepsy
- PECOS Enrolled
About MICHAELA SQUIRE
This page provides the complete NPI Profile along with additional information for Michaela Squire, a provider established in Salt Lake City, Utah with a medical specialization in Psychiatry & Neurology, focusing in epilepsy . The healthcare provider is registered in the NPI registry with number 1376164061 assigned on May 2020. The practitioner's primary taxonomy code is 2084E0001X with license number 14212907-1204 (UT). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1376164061
- Provider Name
- MICHAELA ANTJE SQUIRE DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 81 N MARIO CAPECCHI DR RM 4B096 SALT LAKE CITY, UT 84113
- Location Phone
- (801) 581-2121
- Mailing Address
- 81 N MARIO CAPECCHI DR RM 4B096 SALT LAKE CITY, UT 84113
- Mailing Phone
- (801) 581-2121
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-04-2020
- Last Update Date
- 03-24-2025
- Code Navigator
Location Map
Secondary Locations
- 1512 E Franklin St Ste 100
Chapel Hill, NC 27514
(984) 974-6669
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
Psychiatry & Neurology Epilepsy
- Taxonomy Code
- 2084E0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 14212907-1204
- License State
- UT
- Taxonomy Description
- Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
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 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 261938 (NC) |
Medicare Participation & PECOS Enrollment Status
Michaela Squire is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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 1376164061, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376164061, enumerated as an "individual" on May 04, 2020.
The provider is located at 81 N MARIO CAPECCHI DR RM 4B096 SALT LAKE CITY, UT 84113 and the phone number is (801) 581-2121.
Psychiatry & Neurology with taxonomy code 2084E0001X and a focus in Epilepsy .
