KIM JOHNSON MHR, D.MIN, CSAYC
NPI 1508277401
Psychiatric Residential Treatment Facility in Indianapolis, IN

NPI Status: Active since May 13, 2014

Contact Information

1404 S STATE AVE
INDIANAPOLIS, IN
ZIP 46203
Phone: (317) 783-4003
Fax: (317) 780-4810

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  • Individual
  • Female
  • Psychiatric Residential Treatment Facili...

About KIM JOHNSON

This page provides the complete NPI Profile along with additional information for Kim Johnson, a provider established in Indianapolis, Indiana with a medical specialization in Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1508277401 assigned on May 2014. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1508277401
Provider Name
KIM JOHNSON MHR, D.MIN, CSAYC
Gender
Female
Entity Type
Individual
Location Address
1404 S STATE AVE INDIANAPOLIS, IN 46203
Location Phone
(317) 783-4003
Location Fax
(317) 780-4810
Mailing Address
1404 S STATE AVE INDIANAPOLIS, IN 46203
Mailing Phone
(317) 783-4003
Mailing Fax
(317) 780-4810
Is Sole Proprietor?
Yes
Enumeration Date
05-13-2014
Last Update Date
05-13-2014
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

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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 1508277401, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 2 → 4 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 4 + 7 + 1 + 4 + 4 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1508277401.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Residential Treatment Facility, Emotionally Disturbed Children
1404 S STATE AVE
INDIANAPOLIS, IN 46203
Social Worker
1404 S STATE AVE, 1404 S. STATE AVE
INDIANAPOLIS, IN 46203
Residential Treatment Facility, Emotionally Disturbed Children
1404 S STATE AVE
INDIANAPOLIS, IN 46203
Clinic/Center (Mental Health (Including Community Mental Health Center))
1404 S STATE AVE
INDIANAPOLIS, IN 46203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508277401, enumerated as an "individual" on May 13, 2014.

The provider is located at 1404 S STATE AVE INDIANAPOLIS, IN 46203 and the phone number is (317) 783-4003.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.