ROCKFORD ANXIETY AND PHOBIC CLINIC
NPI 1598162554
Community/Behavioral Health in Rockford, IL

NPI Status: Active since November 19, 2014

Contact Information

429 PHELPS AVE
BUILDING 7 SUITE 11
ROCKFORD, IL
ZIP 61108
Phone: (815) 762-0903
Fax: (779) 500-0687

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  • Organization
  • Community/Behavioral Health

About ROCKFORD ANXIETY AND PHOBIC CLINIC

This page provides the complete NPI Profile along with additional information for Rockford Anxiety And Phobic Clinic, a provider established in Rockford, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1598162554 assigned on November 2014. The practitioner's primary taxonomy code is 251S00000X with license number 180000119 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Charles Doy Dudley Jr. M.ed (Owner)

NPI
1598162554
Provider Name
ROCKFORD ANXIETY AND PHOBIC CLINIC
Entity Type
Organization
Location Address
429 PHELPS AVE BUILDING 7 SUITE 11 ROCKFORD, IL 61108
Location Phone
(815) 762-0903
Location Fax
(779) 500-0687
Mailing Address
429 PHELPS AVE BUILDING 7 SUITE 11 ROCKFORD, IL 61108
Mailing Phone
(815) 762-0903
Mailing Fax
(779) 500-0687
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2014
Last Update Date
11-19-2014
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
180000119
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

MR. CHARLES DOY DUDLEY JR. M.ED

Authorized Official Title
OWNER
Authorized Official Phone
(815) 762-0903

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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 1598162554, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 8 + 8 + 2 + 6 + 4 + 5 + 1 + 0 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1598162554.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Massage Therapist
429 PHELPS AVE, BLDG. 7 STE. 711
ROCKFORD, IL 61108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598162554, enumerated as an "organization" on November 19, 2014.

The provider is located at 429 PHELPS AVE BUILDING 7 SUITE 11 ROCKFORD, IL 61108 and the phone number is (815) 762-0903.

Community/Behavioral Health with taxonomy code 251S00000X.