BRIDGMAN PSYCHOLOGICAL SERVICES
NPI 1497965040
Psychologist in Bridgman, MI

NPI Status: Active since May 23, 2007

Contact Information

7889 RED ARROW HWY
BRIDGMAN, MI
ZIP 49106
Phone: (269) 465-4000
Fax: (269) 465-4001

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  • Organization
  • Psychologist
  • CLIA Number: 23D2184030
  • CLIA Cert. Type: Other - MEDICAL FIRST RESPONDER
  • CLIA Exp. Date: 05-13-2026

About BRIDGMAN PSYCHOLOGICAL SERVICES

This page provides the complete NPI Profile along with additional information for Bridgman Psychological Services, a provider established in Bridgman, Michigan operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1497965040 assigned on May 2007. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dyanne C Bresler Llp (President)

NPI
1497965040
Provider Name
BRIDGMAN PSYCHOLOGICAL SERVICES
Entity Type
Organization
Location Address
7889 RED ARROW HWY BRIDGMAN, MI 49106
Location Phone
(269) 465-4000
Location Fax
(269) 465-4001
Mailing Address
7889 RED ARROW HWY BRIDGMAN, MI 49106
Mailing Phone
(269) 465-4000
Mailing Fax
(269) 465-4001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2007
Last Update Date
08-22-2020
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A psychologist like Bridgman Psychological Services studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License State
MI
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DYANNE C BRESLER LLP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(269) 465-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2184030
Facility Type
Other - MEDICAL FIRST RESPONDER
Certificate Effective Date
May 14, 2024
Certificate Expiration Date
May 13, 2026
Laboratory Director
JOEL E. BUIST
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bridgman Psychological Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1497965040, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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

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 + 8 + 6 + 1 + 0 + 0 + 8 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1497965040.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497965040, enumerated as an "organization" on May 23, 2007.

The provider is located at 7889 RED ARROW HWY BRIDGMAN, MI 49106 and the phone number is (269) 465-4000.

Psychologist with taxonomy code 103T00000X.