BRADFORD J EATON PHD
NPI 1417251109
Clinical Neuropsychologist in Granger, IN

NPI Status: Active since January 10, 2011

Contact Information

15744 SUNRISE TRL
GRANGER, IN
ZIP 46530
Phone: (574) 335-8800
Fax: (574) 335-8801

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  • Organization
  • Clinical Neuropsychologist

About BRADFORD J EATON PHD

This page provides the complete NPI Profile along with additional information for Bradford J Eaton Phd, a provider established in Granger, Indiana operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1417251109 assigned on January 2011. The practitioner's primary taxonomy code is 103G00000X with license number 20041020A (IN). The provider is registered as an organization and their NPI record was last updated 16 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 provider's former legal business name is Bradford J Eaton Phd. The authorized official of this NPI record is Dr. Bradford J Eaton Phd (President/owner)

NPI
1417251109
Provider Legal Name
BRADFORD J EATON PHD
Other Organization Name
BRADFORD J EATON PHD
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
15744 SUNRISE TRL GRANGER, IN 46530
Location Phone
(574) 335-8800
Location Fax
(574) 335-8801
Mailing Address
15744 SUNRISE TRL GRANGER, IN 46530
Mailing Phone
(574) 335-8800
Mailing Fax
(574) 335-8801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2011
Last Update Date
01-10-2011
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
20041020A
License State
IN
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Group Taxonomy 193400000X 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:

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

DR. BRADFORD J EATON PHD

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(274) 335-8800

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
203300EMEDICARE PIN (08)IN 

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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 1417251109, 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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
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 1 → 2 2 → 4 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 4 + 5 + 2 + 1 + 0 + 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 1417251109.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417251109, enumerated as an "organization" on January 10, 2011.

The provider is located at 15744 SUNRISE TRL GRANGER, IN 46530 and the phone number is (574) 335-8800.

Clinical Neuropsychologist with taxonomy code 103G00000X.

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