MR. KIRBY DOUGLAS RIDER QMHA, PSS
NPI 1689144750
Peer Specialist in Medford, OR
NPI Status: Active since November 30, 2018
Contact Information
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
Phone: (541) 858-9871
- Individual
- Male
- Peer Specialist
About KIRBY RIDER
This page provides the complete NPI Profile along with additional information for Kirby Rider, a provider established in Medford, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1689144750 assigned on November 2018. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1689144750
- Provider Name
- MR. KIRBY DOUGLAS RIDER QMHA, PSS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3587 HEATHROW WAY MEDFORD, OR 97504
- Location Phone
- (541) 858-9871
- Mailing Address
- 359 BESSIE ST MEDFORD, OR 97504
- Mailing Phone
- (971) 777-0395
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-30-2018
- Last Update Date
- 12-27-2018
- Code Navigator
Location Map
Secondary Locations
- 359 Bessie St
Medford, OR 97504
(971) 777-0395
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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- OR
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | (OR) |
| 2 | 251B00000X | Agencies | Case Management |
Reviews for MR. KIRBY DOUGLAS RIDER QMHA, PSS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 1 | 4 | 4 | 7 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 2 | 4 | 8 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 2 + 4 + 8 + 7 + 1 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1689144750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
PEACE OF MIND IN HOME CARE, LLC
In Home Supportive Care
3587 HEATHROW WAY
SUITE A
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES
Community Based Residential Treatment Facility, Mental Illness
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES
Community Based Residential Treatment Facility, Mental Illness
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
LAUREL RAMSEY
Social Worker
(Clinical)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
MS. GAELEN LAUREL THUROW
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
MARTHA MCGOWEN
Counselor
(Professional)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
MS. KENDRA GENELLE BROWN RN, BSN, QMHP
Registered Nurse
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
KATHLEEN KINZIE
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
REBECCA PHILLIPS
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
ERYN JOYCE
Social Worker
(Clinical)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
MARY KLINE
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
LINDA BROWN
Social Worker
(Clinical)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
ALMA HADZIDEDIC
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
CYNTHIA MARTINEZ
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
STEPHANIE LYNN LANE
Case Manager/Care Coordinator
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES
Case Management
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES
Clinic/Center
(Adolescent and Children Mental Health)
3587 HEATHROW WAY
SUITE #1
MEDFORD, OR
ZIP 97504
MICHAEL GREGORY
Counselor
(Professional)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
JOSEPH CHICK
Counselor
(Mental Health)
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
COLUMBIACARE SERVICES INC
Psychiatric Residential Treatment Facility
3587 HEATHROW WAY
MEDFORD, OR
ZIP 97504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689144750, enumerated as an "individual" on November 30, 2018.
The provider is located at 3587 HEATHROW WAY MEDFORD, OR 97504 and the phone number is (541) 858-9871.
Peer Specialist with taxonomy code 175T00000X.
