STAGES HEALTH & WELLNESS, LLC NPI 1417464918

Nurse Practitioner (Psychiatric/Mental Health) in Glen Carbon, IL

NPI 1417464918 Organization Nurse Practitioner Psychiatric/Mental Health

NPI Profile for STAGES HEALTH & WELLNESS, LLC

Stages Health & Wellness, Llc is a provider established in Glen Carbon, Illinois specializing in nurse practitioner (psychiatric/mental health) . The NPI number of Stages Health & Wellness, Llc is 1417464918 and was assigned on January 2018. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. Stages Health & Wellness, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Monique L Manderson Fnp-c, Pmhnp-bc (Ceo/founder)

A nurse practitioner (NP) like Stages Health & Wellness, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

NPI

1417464918

Provider NameSTAGES HEALTH & WELLNESS, LLC
Provider Location Address14 CRABAPPLE LANE GLEN CARBON, IL 62034
Provider Mailing Address14 CRABAPPLE LANE GLEN CARBON, IL 62034
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-05-2018
Last Update Date09-02-2021


Primary Taxonomy

Taxonomy Code363LP0808X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPsychiatric/Mental Health

Business Address

STAGES HEALTH & WELLNESS, LLC
14 CRABAPPLE LANE
GLEN CARBON, IL
ZIP 62034
Phone: (708) 679-4927
Fax: (618) 551-3449

Get Directions


Mailing Address

STAGES HEALTH & WELLNESS, LLC
14 CRABAPPLE LANE
GLEN CARBON, IL
ZIP 62034
Phone:



Authorized Official

Authorized Official NameMS. MONIQUE L MANDERSON FNP-C, PMHNP-BC
Authorized Official TitleCEO/FOUNDER
Authorized Official Phone(708) 679-4927

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.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily209.012605ILNo

Taxonomy Description: Not Available

2363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health2017038118MONo

Taxonomy Description: Not Available

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1417464918
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242786892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 8 + 6 + 8 + 9 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1417464918 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Stages Health & Wellness, Llc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.