DR. PHILIP CHARLES LIETHEN PHD
NPI 1689659526
Clinical Neuropsychologist in Fort Gratiot, MI
NPI Status: Active since December 14, 2005
Contact Information
2616 WHITNEY PL
FORT GRATIOT, MI
ZIP 48059
Phone: (586) 246-5746
- Individual
- Male
- Clinical Neuropsychologist
About PHILIP LIETHEN
This page provides the complete NPI Profile along with additional information for Philip Liethen, a provider established in Fort Gratiot, Michigan with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1689659526 assigned on December 2005. The practitioner's primary taxonomy code is 103G00000X with license number 3063 (MI). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1689659526
- Provider Name
- DR. PHILIP CHARLES LIETHEN PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2616 WHITNEY PL FORT GRATIOT, MI 48059
- Location Phone
- (586) 246-5746
- Mailing Address
- 2616 WHITNEY PL FORT GRATIOT, MI 48059
- Mailing Phone
- (586) 246-5746
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-14-2005
- Last Update Date
- 07-08-2007
- Code Navigator
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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3063
- License State
- MI
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human 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) |
|---|---|---|---|---|
| 1 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 2082 (WI) |
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.
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 |
|---|---|---|---|
| 0N38240 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | MEDICARE-CLINTON TOWNSHIP |
| 0N38250 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | MEDICARE-PORT HURON |
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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 1689659526, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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.
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 74 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689659526, enumerated as an "individual" on December 14, 2005.
The provider is located at 2616 WHITNEY PL FORT GRATIOT, MI 48059 and the phone number is (586) 246-5746.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
