PROVIDENCE HEALTH SERVICES
NPI 1396012837
Psychiatry & Neurology - Addiction Medicine in Washington, DC
NPI Status: Active since November 29, 2011
Contact Information
1053 BUCHANAN ST NE
SUITE 055
WASHINGTON, DC
ZIP 20017
Phone: (202) 269-7626
Fax: (202) 269-7616
- Organization
- Psychiatry & Neurology
- Addiction Medicine
About PROVIDENCE HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Providence Health Services, a provider established in Washington, District Of Columbia operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1396012837 assigned on November 2011. The practitioner's primary taxonomy code is 2084A0401X with license number HFD01-0212 (DC). The provider is registered as an organization and their NPI record was last updated 10 years ago. Providence Health Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Providence Health Services. The authorized official of this NPI record is Mr. Charles F Haberkern (Vp)
- NPI
- 1396012837
- Provider Legal Name
- PHS BEHAVIORAL MEDICINE
- Other Organization Name
- PROVIDENCE HEALTH SERVICES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1053 BUCHANAN ST NE SUITE 055 WASHINGTON, DC 20017
- Location Phone
- (202) 269-7626
- Location Fax
- (202) 269-7616
- Mailing Address
- 1150 VARNUM ST NE ST CATHERINE'S HALL, ROOM 102 WASHINGTON, DC 20017
- Mailing Phone
- (202) 854-4069
- Mailing Fax
- (202) 269-7616
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-29-2011
- Last Update Date
- 09-06-2016
- 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
Psychiatry & Neurology Addiction Medicine
- Taxonomy Code
- 2084A0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- HFD01-0212
- License State
- DC
- Taxonomy Description
- A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | HFD01-0212 (DC) |
| 2 | 282N00000X | Hospitals | General Acute Care Hospital | HFD01-0112 (DC) |
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.
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.
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 |
|---|---|---|---|
| 09810714 | MEDICAID (05) | VA | |
| 090006 | MEDICARE PIN (08) | ||
| 029833400 | MEDICAID (05) | DC | |
| 005145400 | MEDICAID (05) | MD |
Reviews for PROVIDENCE HEALTH SERVICES
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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 1396012837, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WASHINGTON, DC 20017
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396012837, enumerated as an "organization" on November 29, 2011.
The provider is located at 1053 BUCHANAN ST NE SUITE 055 WASHINGTON, DC 20017 and the phone number is (202) 269-7626.
Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
