KYRSTINA HUDSON MARIOUW PH.D
NPI 1487054441
Clinical Neuropsychologist in Troy, MI
NPI Status: Active since August 27, 2014
Contact Information
3290 W BIG BEAVER RD STE 150
TROY, MI
ZIP 48084
Phone: (248) 792-6527
Fax: (248) 792-9106
- Individual
- Female
- Clinical Neuropsychologist
- Accepts Insurance
About KYRSTINA MARIOUW
This page provides the complete NPI Profile along with additional information for Kyrstina Mariouw, a provider established in Troy, Michigan with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1487054441 assigned on August 2014. The practitioner's primary taxonomy code is 103G00000X with license number 6301018301 (MI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1487054441
- Provider Name
- KYRSTINA HUDSON MARIOUW PH.D
- Other Name
- KYRSTINA HUDSON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3290 W BIG BEAVER RD STE 150 TROY, MI 48084
- Location Phone
- (248) 792-6527
- Location Fax
- (248) 792-9106
- Mailing Address
- 1335 SHEEHAN AVE ANN ARBOR, MI 48104
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-27-2014
- Last Update Date
- 12-08-2020
- Code Navigator
Location Map
Secondary Locations
- 1375 55th St
Emeryville, CA 94608
(510) 655-7880
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.
- 6301018301
- License State
- MI
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1487054441, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487054441, enumerated as an "individual" on August 27, 2014.
The provider is located at 3290 W BIG BEAVER RD STE 150 TROY, MI 48084 and the phone number is (248) 792-6527.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: McLaren Health Plan Community. Please consult your insurance carrier or call the provider to verify.
