GREGORY SCOT DEACON LLP
NPI 1689740078
Psychologist - Cognitive & Behavioral in Grand Rapids, MI

NPI Status: Active since November 28, 2006

Contact Information

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-4212
Fax: (616) 774-9022

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  • Individual
  • Male
  • Psychologist
  • Cognitive & Behavioral
  • Accepts Insurance

About GREGORY DEACON

This page provides the complete NPI Profile along with additional information for Gregory Deacon, a provider established in Grand Rapids, Michigan with a medical specialization in Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1689740078 assigned on November 2006. The practitioner's primary taxonomy code is 103TB0200X with license number 6301010405 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1689740078
Provider Name
GREGORY SCOT DEACON LLP
Gender
Male
Entity Type
Individual
Location Address
201 SHELDON BLVD SE GRAND RAPIDS, MI 49503
Location Phone
(616) 459-4212
Location Fax
(616) 774-9022
Mailing Address
201 SHELDON BLVD SE GRAND RAPIDS, MI 49503
Mailing Phone
(616) 459-4212
Mailing Fax
(616) 774-9022
Is Sole Proprietor?
No
Enumeration Date
11-28-2006
Last Update Date
07-08-2007
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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

Psychologist Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
License No.
6301010405
License State
MI
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

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)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Bronson Healthcare Partners - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Bronson Healthcare Partners - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver Southeast Michigan Network - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO

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
0D16159MEDICARE ID-TYPE UNSPECIFIED (04)MITOUCHSTONE GROUP NUMBER

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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.
1689740078
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691440014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 4 + 0 + 0 + 1 + 4 + 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 1689740078 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 20 providers are registered at the same or nearby location.

MS. SUSAN M WOLF LMSW

Social Worker

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-0255

MS. ROBERTA J WALSH RN.,CNP

Nurse Practitioner

(Psychiatric/Mental Health)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

MS. DOROTHY M VOGELSBURG LMSW

Social Worker

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

MS. RYANNE L NEUMAN LMSW

Social Worker

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

MRS. SUSAN DE WAARD M.A., LLP

Psychologist

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

MRS. MARIA KOTSIOPOULOU MLSW

Social Worker

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

MR. DAVID LAWRENCE KEMPSTON MA, LLP

Psychologist

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

DANA PATRICIA PRICE MA

Counselor

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

NANCY A FEIGHNER LMSW, RNC

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

MRS. MARIANNE OOSTVEEN LMSW

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-4212

MRS. KATIE ELIZABETH ACHTYES LMSW, CAADC

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-0255

MR. DOUGLASS JUDSON MSW

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-0255

TOUCHSTONE INNOVARE

Case Management

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 459-0255

ALLYSON TAFELSKY

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 956-8200

EUGENE MARTIN KOON LBSW

Social Worker

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 965-8200

AMY TOWNLEY

Social Worker

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 965-8200

MELISSA ANN GRONDSMA LBSW

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 965-8200

CARMEN DIEPPA LBSW, BS

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 956-8200

CHRISTOPHER ROBERT OSTRANDER LLMSW

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 965-8200

MR. KURT DAVID KELLER LMSW

Social Worker

(Clinical)

201 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503

(616) 965-8200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689740078, enumerated as an "individual" on November 28, 2006.

The provider is located at 201 SHELDON BLVD SE GRAND RAPIDS, MI 49503 and the phone number is (616) 459-4212.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.

The provider might be accepting Accepts: Priority Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.