EVERGREEN PEDIATRIC GROUP, INC
NPI 1508133836
Community/Behavioral Health in Gilberts, IL

NPI Status: Active since December 01, 2011

Contact Information

157 REDMOND DR
GILBERTS, IL
ZIP 60136
Phone: (815) 985-3882

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  • Organization
  • Community/Behavioral Health

About EVERGREEN PEDIATRIC GROUP, INC

This page provides the complete NPI Profile along with additional information for Evergreen Pediatric Group, Inc, a provider established in Gilberts, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1508133836 assigned on December 2011. The practitioner's primary taxonomy code is 251S00000X with license number 1-11-9409 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Melissa Leigh Dixon Ma, Bcba, Lpc (Behavior Analyst)

NPI
1508133836
Provider Name
EVERGREEN PEDIATRIC GROUP, INC
Entity Type
Organization
Location Address
157 REDMOND DR GILBERTS, IL 60136
Location Phone
(815) 985-3882
Mailing Address
157 REDMOND DR GILBERTS, IL 60136
Mailing Phone
(815) 985-3882
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2011
Last Update Date
10-02-2013
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
1-11-9409
License State
IL
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.

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

MRS. MELISSA LEIGH DIXON MA, BCBA, LPC

Authorized Official Title
BEHAVIOR ANALYST
Authorized Official Phone
(815) 985-3882

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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 1508133836, 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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
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 0 → 0 1 → 2 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 2 + 3 + 6 + 8 + 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 1508133836.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508133836, enumerated as an "organization" on December 01, 2011.

The provider is located at 157 REDMOND DR GILBERTS, IL 60136 and the phone number is (815) 985-3882.

Community/Behavioral Health with taxonomy code 251S00000X.