HENRY FORD ALLEGIANCE HEALTH
NPI 1417494378
Psychologist - Clinical in Jackson, MI

NPI Status: Active since January 30, 2017

Contact Information

205 N. EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 841-7843
Fax: (517) 841-7419

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  • Organization
  • Psychologist
  • Clinical
  • Accepts Insurance

About HENRY FORD ALLEGIANCE HEALTH

This page provides the complete NPI Profile along with additional information for Henry Ford Allegiance Health, a provider established in Jackson, Michigan operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1417494378 assigned on January 2017. The practitioner's primary taxonomy code is 103TC0700X with license number 1060000044 (MI). The provider is registered as an organization and their NPI record was last updated 2 years ago. Henry Ford Allegiance Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Henry Ford Allegiance Health. The authorized official of this NPI record is Mark Smith (Svp, Cmo, Ceo)

NPI
1417494378
Provider Legal Name
W.A. FOOTE MEMORIAL HOSPITAL, INC
Other Organization Name
HENRY FORD ALLEGIANCE HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
205 N. EAST AVE JACKSON, MI 49201
Location Phone
(517) 841-7843
Location Fax
(517) 841-7419
Mailing Address
PO BOX 67000 DEPARTMENT 272801 DETROIT, MI 48267
Mailing Phone
(517) 841-7843
Mailing Fax
(517) 841-7419
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-30-2017
Last Update Date
03-06-2024
Code Navigator

A clinical psychologist like Henry Ford Allegiance Health 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.
1060000044
License State
MI
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.

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:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

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

MARK SMITH

Authorized Official Title
SVP, CMO, CEO
Authorized Official Phone
(517) 205-6407

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
1326078866MEDICAID (05)MI 

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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 1417494378, 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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
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 1 → 2 4 → 8 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 + 4 + 2 + 7 + 8 + 9 + 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 1417494378.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Endoscopy)
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
Rehabilitation, Substance Use Disorder Unit
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
Clinical Medical Laboratory
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
General Acute Care Hospital
205 N. EAST AVE, 7TH FL ONE JACKSON SQUARE
JACKSON, MI 49201
Surgery (Surgical Oncology)
205 N. EAST AVE
JACKSON, MI 49201
Pain Medicine (Pain Medicine)
205 N. EAST AVE
JACKSON, MI 49201
Surgery (Vascular Surgery)
205 N. EAST AVE
JACKSON, MI 49201
Internal Medicine (Hematology)
205 N. EAST AVE
JACKSON, MI 49201
Radiology (Radiation Oncology)
205 N. EAST AVE
JACKSON, MI 49201
Audiologist
205 N. EAST AVE
JACKSON, MI 49201
Nurse Practitioner (Psychiatric/Mental Health)
205 N. EAST AVE
JACKSON, MI 49201
Urology
205 N. EAST AVE, ATTN: PROVIDER ENROLLMENT
JACKSON, MI 49201
Obstetrics & Gynecology
205 N. EAST AVE
JACKSON, MI 49201
Surgery (Vascular Surgery)
205 N. EAST AVE
JACKSON, MI 49201
Internal Medicine (Medical Oncology)
205 N. EAST AVE
JACKSON, MI 49201
Social Worker
205 N. EAST AVE
JACKSON, MI 49201
Dermatology
205 N. EAST AVE
JACKSON, MI 49201
Physician Assistant
205 N. EAST AVE
JACKSON, MI 49201
Psychiatry & Neurology (Neurology)
205 N. EAST AVE
JACKSON, MI 49201
Podiatrist
205 N. EAST AVE
JACKSON, MI 49201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417494378, enumerated as an "organization" on January 30, 2017.

The provider is located at 205 N. EAST AVE JACKSON, MI 49201 and the phone number is (517) 841-7843.

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

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.