MICHAEL K JACKSON MASTERS
NPI 1669236477
Clinic/Center - Adolescent and Children Mental Health in Eldorado, IL

NPI Status: Active since February 12, 2024

Contact Information

1200 LOCUST ST
ELDORADO, IL
ZIP 62930
Phone: (618) 252-9036

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  • Individual
  • Male
  • Clinic/Center
  • Adolescent and Children Mental Health

About MICHAEL JACKSON

This page provides the complete NPI Profile along with additional information for Michael Jackson, a provider established in Eldorado, Illinois with a medical specialization in Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1669236477 assigned on February 2024. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1669236477
Provider Name
MICHAEL K JACKSON MASTERS
Gender
Male
Entity Type
Individual
Location Address
1200 LOCUST ST ELDORADO, IL 62930
Location Phone
(618) 252-9036
Mailing Address
1200 LOCUST ST ELDORADO, IL 62930
Mailing Phone
(618) 252-9036
Is Sole Proprietor?
Yes
Enumeration Date
02-12-2024
Last Update Date
02-12-2024
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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

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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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 1669236477, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 6 → 12 → 3 2 → 4 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 4 + 3 + 1 + 2 + 4 + 1 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1669236477.

Other Providers at the Same Location


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

Psychologist (School)
1200 LOCUST ST
ELDORADO, IL 62930
Psychologist (School)
1200 LOCUST ST
ELDORADO, IL 62930
Social Worker (Clinical)
1200 LOCUST ST
ELDORADO, IL 62930
Psychologist (Clinical Child & Adolescent)
1200 LOCUST ST
ELDORADO, IL 62930
Clinic/Center (Adolescent and Children Mental Health)
1200 LOCUST ST
ELDORADO, IL 62930
Social Worker (Clinical)
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor
1200 LOCUST ST
ELDORADO, IL 62930
Counselor (Mental Health)
1200 LOCUST ST
ELDORADO, IL 62930
Counselor (Mental Health)
1200 LOCUST ST
ELDORADO, IL 62930
Social Worker (School)
1200 LOCUST ST
ELDORADO, IL 62930
Counselor (Mental Health)
1200 LOCUST ST
ELDORADO, IL 62930

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669236477, enumerated as an "individual" on February 12, 2024.

The provider is located at 1200 LOCUST ST ELDORADO, IL 62930 and the phone number is (618) 252-9036.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.