EDGEWATER HEALTH
NPI 1477011930
Community/Behavioral Health in Gary, IN
NPI Status: Active since March 04, 2019
- Organization
- Community/Behavioral Health
About EDGEWATER HEALTH
Edgewater Health is a provider established in Gary, Indiana operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1477011930 assigned on March 2019. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Pierre Wood (Therapist)
- NPI
- 1477011930
- Provider Name
- EDGEWATER HEALTH
- Entity Type
- Organization
- Location Address
- 1100 W 6TH AVE GARY, IN 46402
- Location Phone
- (219) 885-4264
- Mailing Address
- 17 W 144TH ST APT 1W RIVERDALE, IL 60827
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2019
- Last Update Date
- 03-04-2019
- Code Navigator
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Medicare
Medicaid
*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 |
|---|---|---|---|
| W300-6708-0246 | OTHER (01) | IL | DRIVER'S LICENSE |
Reviews for EDGEWATER HEALTH
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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. | |||||||||
| 1 | 4 | 7 | 7 | 0 | 1 | 1 | 9 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 0 | 1 | 2 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 0 + 1 + 2 + 9 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1477011930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427365253 | DR. MILTON ARMSTON JR. PSYD Individual | Psychologist (Clinical) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1790057966 | LEE ESTER MARIE CAMPBELL RN Individual | Registered Nurse | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1619240744 | MRS. SANDRA F BRYANT RN, BSN Individual | Registered Nurse (Psychiatric/Mental Health) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1790056794 | MS. LUNETTE L LOTT LPN Individual | Licensed Practical Nurse | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1447386131 | DR. PAMELA V. TRAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1912970229 | MR. MATHEW V CASTELINO MD Individual | Psychiatry & Neurology (Psychiatry) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1497850663 | MR. KOBIE I DOUGLAS MD Individual | Psychiatry & Neurology (Psychiatry) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1881722833 | MR. MUHAMMAD BUTT MD Individual | Psychiatry & Neurology (Psychiatry) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1750794863 | MS. AMEKA QUINE'A HARRIS B.A. Individual | Social Worker | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1316350317 | VIRNI WEBB Individual | Social Worker (School) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1558774190 | JIHAN LA BROI Individual | Counselor (Mental Health) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1619381035 | ERICH DICKERSON Individual | Counselor (Mental Health) | 1100 W 6TH AVE GARY, IN 46402 (219) 359-3300 |
| 1114331428 | MISS HOLLY SAINT HARDEE Individual | Social Worker | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1215342969 | DANYELLE EVANS Individual | Counselor (Mental Health) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1174938534 | MS. CHARLIE SIMMONS Individual | Registered Nurse | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1073928347 | MR. SPIRO MEHAS OMHP Individual | Social Worker | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1548675739 | SHANNON DERICO Individual | Counselor (Mental Health) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1063828879 | CLAUDE ANN POUPOLOS MSW Individual | Social Worker | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1336554146 | MIRANDA ROSE Individual | Counselor (Mental Health) | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
| 1417363136 | MR. CARLOS A LAURIE MSMFT Individual | Marriage & Family Therapist | 1100 W 6TH AVE GARY, IN 46402 (219) 885-4264 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477011930, enumerated in the NPI registry as an "organization" on March 04, 2019
The provider is located at 1100 W 6th Ave Gary, In 46402 and the phone number is (219) 885-4264
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 04, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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