IMPACT CAROLINA SERVICES, INC
NPI 1619285756
Psychiatry & Neurology - Psychiatry in Charlotte, NC

NPI Status: Active since September 23, 2010

Contact Information

2848 QUEEN CITY DR STE G
CHARLOTTE, NC
ZIP 28208
Phone: (704) 405-1617
Fax: (704) 405-1619

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About IMPACT CAROLINA SERVICES, INC

This page provides the complete NPI Profile along with additional information for Impact Carolina Services, Inc, a provider established in Charlotte, North Carolina operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1619285756 assigned on September 2010. The practitioner's primary taxonomy code is 2084P0800X with license number NC 2005-00391 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. Impact Carolina Services, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Joseph Adedokun Ph.d. (Director/ceo)

NPI
1619285756
Provider Name
IMPACT CAROLINA SERVICES, INC
Entity Type
Organization
Location Address
2848 QUEEN CITY DR STE G CHARLOTTE, NC 28208
Location Phone
(704) 405-1617
Location Fax
(704) 405-1619
Mailing Address
2848 QUEEN CITY DR STE G CHARLOTTE, NC 28208
Mailing Phone
(704) 405-1617
Mailing Fax
(704) 405-1619
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2010
Last Update Date
09-23-2010
Code Navigator

A psychiatrist like Impact Carolina Services, Inc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
NC 2005-00391
License State
NC
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

795 (NC)
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

5171 (NC)
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

C001664 (NC)
4363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

0600071 (NC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

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

DR. JOSEPH ADEDOKUN PH.D.

Authorized Official Title
DIRECTOR/CEO
Authorized Official Phone
(704) 405-1617

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
6006650MEDICAID (05)NC 
2347954MEDICARE PIN (08)NC 

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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 1619285756, 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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 1 → 2 2 → 4 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 4 + 8 + 1 + 0 + 7 + 1 + 0 + 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 1619285756.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
2848 QUEEN CITY DR STE G
CHARLOTTE, NC 28208
Social Worker (Clinical)
2848 QUEEN CITY DR STE G
CHARLOTTE, NC 28208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619285756, enumerated as an "organization" on September 23, 2010.

The provider is located at 2848 QUEEN CITY DR STE G CHARLOTTE, NC 28208 and the phone number is (704) 405-1617.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

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