ENVISION BEHAVIORAL HEALTH PLLC
NPI 1689165508
Psychiatry & Neurology - Psychiatry in Clemmons, NC

NPI Status: Active since May 25, 2018

Contact Information

2554 LEWISVILLE CLEMMONS RD STE 207
CLEMMONS, NC
ZIP 27012
Phone: (304) 617-4337
Fax: (339) 207-0143

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About ENVISION BEHAVIORAL HEALTH PLLC

Envision Behavioral Health Pllc is a provider established in Clemmons, North Carolina operating as a Psychiatry & Neurology with a focus in psychiatry . The healthcare provider is registered in the NPI registry with number 1689165508 assigned on May 2018. The practitioner's primary taxonomy code is 2084P0800X with license number 2016-01870 (NC). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jessica Cipoletti Derreberry Md (Managing Member)

NPI
1689165508
Provider Name
ENVISION BEHAVIORAL HEALTH PLLC
Entity Type
Organization
Location Address
2554 LEWISVILLE CLEMMONS RD STE 207 CLEMMONS, NC 27012
Location Phone
(304) 617-4337
Location Fax
(339) 207-0143
Mailing Address
100 STADIUM OAKS DR STE B CLEMMONS, NC 27012
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
05-25-2018
Last Update Date
06-10-2020
Code Navigator

A psychiatrist like Envision Behavioral Health Pllc 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.

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.
2016-01870
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

JESSICA CIPOLETTI DERREBERRY MD

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(304) 617-4337

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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.
1689165508
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169261050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 2 + 6 + 1 + 0 + 5 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1689165508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295962066DR. TODD MICHAEL DERREBERRY M.D.
Individual
Psychiatry & Neurology (Psychiatry)2554 LEWISVILLE CLEMMONS RD STE 207
CLEMMONS, NC 27012
(336) 223-8220

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689165508, enumerated in the NPI registry as an "organization" on May 25, 2018

The provider is located at 2554 Lewisville Clemmons Rd Ste 207 Clemmons, Nc 27012 and the phone number is (304) 617-4337

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

This NPI record was last updated on May 25, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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