DERONTE FULLERTON
NPI 1497528236
Case Manager/Care Coordinator in Willoughby Hills, OH

NPI Status: Active since November 02, 2023

Contact Information

2785 SOM CENTER RD
WILLOUGHBY HILLS, OH
ZIP 44094
Phone: (216) 278-0288

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  • Individual
  • Male
  • Case Manager/Care Coordinator

About DERONTE FULLERTON

This page provides the complete NPI Profile along with additional information for Deronte Fullerton, a provider established in Willoughby Hills, Ohio with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1497528236 assigned on November 2023. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1497528236
Provider Name
DERONTE FULLERTON
Gender
Male
Entity Type
Individual
Location Address
2785 SOM CENTER RD WILLOUGHBY HILLS, OH 44094
Location Phone
(216) 278-0288
Mailing Address
92 E 219TH ST EUCLID, OH 44123
Mailing Phone
(216) 703-0348
Is Sole Proprietor?
Yes
Enumeration Date
11-02-2023
Last Update Date
04-11-2025
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Location Map

Secondary Locations

  • 17325 Euclid Ave Ste 4012
    Cleveland, OH 44112
    (216) 438-3349

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

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 

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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 1497528236, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 9 → 18 → 9 5 → 10 → 1 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 1 + 0 + 2 + 1 + 6 + 2 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1497528236.

Other Providers at the Same Location


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

Clinic/Center (Magnetic Resonance Imaging (MRI))
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Clinic/Center (Radiology)
2785 SOM CENTER RD
WILLOUGHBY, OH 44094
Neurological Surgery
2785 SOM CENTER RD
WILLOUGHBY, OH 44094
Neurological Surgery
2785 SOM CENTER RD
WILLOUGHBY, OH 44094
Physician Assistant (Surgical)
2785 SOM CENTER RD
WILLOUGHBY, OH 44094
Social Worker (Clinical)
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Psychiatry & Neurology (Psychiatry)
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Nurse Practitioner
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Analyst
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Psychiatry & Neurology (Psychiatry)
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Behavior Technician
2785 SOM CENTER RD
WILLOUGHBY HILLS, OH 44094
Neurological Surgery
2785 SOM CENTER RD
WILLOUGHBY, OH 44094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497528236, enumerated as an "individual" on November 02, 2023.

The provider is located at 2785 SOM CENTER RD WILLOUGHBY HILLS, OH 44094 and the phone number is (216) 278-0288.

Case Manager/Care Coordinator with taxonomy code 171M00000X.