RUSK STATE HOSPITAL
NPI 1639182967
Psychologist in Rusk, TX
NPI Status: Active since August 15, 2006
Contact Information
805 NORTH DICKINSON
RUSK, TX
ZIP 75785
Phone: (903) 683-7201
Fax: (903) 683-7199
- Organization
- Psychologist
- CLIA Number: 45D0483692
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-08-2027
About RUSK STATE HOSPITAL
This page provides the complete NPI Profile along with additional information for Rusk State Hospital, a provider established in Rusk, Texas operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1639182967 assigned on August 2006. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Rusk State Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Rusk State Hospital. The authorized official of this NPI record is Mrs. Jana Johnson (Accountant Iii)
- NPI
- 1639182967
- Provider Legal Name
- HEALTH AND HUMAN SERVICES COMMISSION
- Other Organization Name
- RUSK STATE HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 805 NORTH DICKINSON RUSK, TX 75785
- Location Phone
- (903) 683-7201
- Location Fax
- (903) 683-7199
- Mailing Address
- 4110 GUADALUPE ST HOSPITAL REVENUE MGMT-MC2023 AUSTIN, TX 78751
- Mailing Phone
- (512) 206-5284
- Mailing Fax
- (903) 683-7199
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-15-2006
- Last Update Date
- 08-25-2017
- Code Navigator
A psychologist like Rusk State Hospital studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
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
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- TX
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | (TX) |
| 2 | 183500000X | Pharmacy Service Providers | Pharmacist | (TX) |
| 3 | 2084F0202X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 4 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 5 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 6 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 7 | 2084P0805X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | (TX) |
| 8 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | (TX) |
| 9 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (TX) |
| 10 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (TX) |
| 11 | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | (TX) |
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.
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.
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 |
|---|---|---|---|
| 4537835 | OTHER (01) | TX | PHARMACY NCPDP |
| 0638231-01 | MEDICAID (05) | TX | |
| 0827925-01 | MEDICAID (05) | TX | |
| 00G982 | MEDICARE OSCAR/CERTIFICATION (06) | TX | |
| 1333312-01 | MEDICAID (05) | TX | |
| HH4588 | OTHER (01) | TX | BCBS PSYCHIATRIC |
| 1333312-02 | MEDICAID (05) | TX | |
| HH3006 | OTHER (01) | TX | BCBS DRUG/ALCOHOL |
| 1333312-03 | MEDICAID (05) | TX | |
| 00G982 | MEDICARE PIN (08) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0483692
- Facility Type
- Hospital
- Certificate Effective Date
- April 09, 2025
- Certificate Expiration Date
- April 08, 2027
- Laboratory Director
- SHAWN D. PIERCE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Rusk State Hospital in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1639182967, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639182967, enumerated as an "organization" on August 15, 2006.
The provider is located at 805 NORTH DICKINSON RUSK, TX 75785 and the phone number is (903) 683-7201.
Psychologist with taxonomy code 103T00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
