LIFE STAGES THERAPY CENTER, INC
NPI 1376974378
Psychologist - Clinical in Fort Wayne, IN

NPI Status: Active since December 02, 2013

Contact Information

409 E COOK RD
SUITE 100
FORT WAYNE, IN
ZIP 46825
Phone: (260) 498-9933

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  • Organization
  • Psychologist
  • Clinical

About LIFE STAGES THERAPY CENTER, INC

This page provides the complete NPI Profile along with additional information for Life Stages Therapy Center, Inc, a provider established in Fort Wayne, Indiana operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1376974378 assigned on December 2013. The practitioner's primary taxonomy code is 103TC0700X with license number 20042225A (IN). The provider is registered as an organization and their NPI record was last updated 13 years ago. Life Stages Therapy Center, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Marla Jean Souder Psyd, Hspp (President/coo)

NPI
1376974378
Provider Name
LIFE STAGES THERAPY CENTER, INC
Entity Type
Organization
Location Address
409 E COOK RD SUITE 100 FORT WAYNE, IN 46825
Location Phone
(260) 498-9933
Mailing Address
2599 COUNTY ROAD 72 AUBURN, IN 46706
Mailing Phone
(260) 498-9933
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-02-2013
Last Update Date
12-02-2013
Code Navigator

A clinical psychologist like Life Stages Therapy Center, Inc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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 Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
20042225A
License State
IN
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2103TS0200XBehavioral Health & Social Service Providers

Psychologist
School

 
3104100000XBehavioral Health & Social Service Providers

Social Worker

 
4106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
5171M00000XOther Service Providers

Case Manager/Care Coordinator

 
6208D00000XAllopathic & Osteopathic Physicians

General Practice

 
7222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Developmental Therapist

 
8225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
9225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
10235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 
11251S00000XAgencies

Community/Behavioral Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. MARLA JEAN SOUDER PSYD, HSPP

Authorized Official Title
PRESIDENT/COO
Authorized Official Phone
(260) 498-9933

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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 1376974378, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 9 → 18 → 9 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 8 + 7 + 8 + 3 + 1 + 4 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1376974378.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
409 E COOK RD, SUITE 100
FORT WAYNE, IN 46825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376974378, enumerated as an "organization" on December 02, 2013.

The provider is located at 409 E COOK RD SUITE 100 FORT WAYNE, IN 46825 and the phone number is (260) 498-9933.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.