SSM HEALTH BEHAVIORAL HEALTH
NPI 1598743726
Psychiatric Unit in Fond Du Lac, WI

NPI Status: Active since January 06, 2006

Contact Information

430 E DIVISION ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-2300
Fax: (920) 926-8885

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  • Organization
  • Psychiatric Unit
  • Accepts Insurance

About SSM HEALTH BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Ssm Health Behavioral Health, a provider established in Fond Du Lac, Wisconsin operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1598743726 assigned on January 2006. The practitioner's primary taxonomy code is 273R00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Ssm Health Behavioral Health. The authorized official of this NPI record is Bonnie R Schmitz (Cfo)

NPI
1598743726
Provider Legal Name
AGNESIAN HEALTHCARE, INC
Other Organization Name
SSM HEALTH BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
430 E DIVISION ST FOND DU LAC, WI 54935
Location Phone
(920) 929-2300
Location Fax
(920) 926-8885
Mailing Address
430 E DIVISION ST FOND DU LAC, WI 54935
Mailing Phone
(920) 929-2300
Mailing Fax
(920) 926-8885
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-06-2006
Last Update Date
03-12-2022
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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 Unit

Taxonomy Code
273R00000X
Type
Hospital Units
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Prestige Bronze $0 Medical Deductible - HMO
  • Prestige Bronze $0 Medical Deductible + Dental + Vision - HMO
  • Prestige Bronze $0 Medical Deductible + Dental +Vision - HMO
  • Prestige Bronze Essential + 3 Free PCP Visits - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit - HMO
  • Prestige Gold Essential + 3Free PCP Visits - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + 3 Free PCP Visits - HMO
  • Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

BONNIE R SCHMITZ

Authorized Official Title
CFO
Authorized Official Phone
(920) 926-4480

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
11013000MEDICAID (05)WI 
547140OTHER (01)WIDEAN CARE
101159OTHER (01)WIVESTICA

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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 1598743726, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
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 7 → 14 → 5 3 → 6 2 → 4

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 + 1 + 4 + 4 + 6 + 7 + 4 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1598743726.

Other Providers at the Same Location


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

Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935
Registered Nurse (Medical-Surgical)
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Physician Assistant
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner (Critical Care Medicine)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Registered Nurse (Medical-Surgical)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Registered Nurse (Medical-Surgical)
430 E DIVISION ST
FOND DU LAC, WI 54935
Registered Nurse (Medical-Surgical)
430 E DIVISION ST
FOND DU LAC, WI 54935
Anesthesiology
430 E DIVISION ST
FOND DU LAC, WI 54935
Anesthesiology
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST, SUITE 4
FOND DU LAC, WI 54935
Anesthesiology
430 E DIVISION ST, SUITE 4
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST, SUITE 4
FOND DU LAC, WI 54935
Anesthesiology
430 E DIVISION ST
FOND DU LAC, WI 54935
Registered Nurse (Medical-Surgical)
430 E DIVISION ST
FOND DU LAC, WI 54935
Physical Therapist
430 E DIVISION ST
FOND DU LAC, WI 54935
Physical Therapist
430 E DIVISION ST
FOND DU LAC, WI 54935
Physical Therapy Assistant
430 E DIVISION ST
FOND DU LAC, WI 54935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598743726, enumerated as an "organization" on January 06, 2006.

The provider is located at 430 E DIVISION ST FOND DU LAC, WI 54935 and the phone number is (920) 929-2300.

Psychiatric Unit with taxonomy code 273R00000X.

The provider might be accepting Accepts: Network Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.