NEUROFEEDBACK TRAINING CLINICS, LLC
NPI 1427758481
Clinic/Center - Multi-Specialty in Green Bay, WI

NPI Status: Active since March 08, 2023

Contact Information

425 S ADAMS ST STE 102
GREEN BAY, WI
ZIP 54301
Phone: (920) 888-5961

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About NEUROFEEDBACK TRAINING CLINICS, LLC

This page provides the complete NPI Profile along with additional information for Neurofeedback Training Clinics, Llc, a provider established in Green Bay, Wisconsin operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1427758481 assigned on March 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Adam M Sturdevant Psyd (Clinical Director/psychologist)

NPI
1427758481
Provider Name
NEUROFEEDBACK TRAINING CLINICS, LLC
Entity Type
Organization
Location Address
425 S ADAMS ST STE 102 GREEN BAY, WI 54301
Location Phone
(920) 888-5961
Mailing Address
425 S ADAMS ST STE 102 GREEN BAY, WI 54301
Mailing Phone
(920) 888-5961
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2023
Last Update Date
03-08-2023
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

ADAM M STURDEVANT PSYD

Authorized Official Title
CLINICAL DIRECTOR/PSYCHOLOGIST
Authorized Official Phone
(920) 888-6868

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NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1427758481
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244714516416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 4 + 5 + 1 + 6 + 4 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1427758481 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427758481, enumerated as an "organization" on March 08, 2023.

The provider is located at 425 S ADAMS ST STE 102 GREEN BAY, WI 54301 and the phone number is (920) 888-5961.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.