JAMES DELOUGHERY
NPI 1699100198
Social Worker in Bloomfield, CT
NPI Status: Active since September 04, 2013
Contact Information
693 BLOOMFIELD AVE
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 243-6584
Fax: (860) 243-6591
- Individual
- Male
- Years of Experience 13
- Social Worker
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JAMES DELOUGHERY
This page provides the complete NPI Profile along with additional information for James Deloughery, a provider established in Bloomfield, Connecticut with a medical specialization in Social Worker and more than 13 years of experience. He graduated from University Of Connecticut School Of Medicine in 2013. The healthcare provider is registered in the NPI registry with number 1699100198 assigned on September 2013. The practitioner's primary taxonomy code is 104100000X. The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1699100198
- Provider Name
- JAMES DELOUGHERY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 693 BLOOMFIELD AVE BLOOMFIELD, CT 06002
- Location Phone
- (860) 243-6584
- Location Fax
- (860) 243-6591
- Mailing Address
- 995 DAY HILL RD WINDSOR, CT 06095
- Mailing Phone
- (860) 731-5522
- Mailing Fax
- (860) 243-6591
- Medical School Name
- UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-04-2013
- Last Update Date
- 08-17-2015
- Code Navigator
A social worker like James Deloughery helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
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
Social Worker
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Medicare Participation & PECOS Enrollment Status
James Deloughery is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
James Deloughery is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9335457498
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20151009001064
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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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 1699100198, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699100198, enumerated as an "individual" on September 04, 2013.
The provider is located at 693 BLOOMFIELD AVE BLOOMFIELD, CT 06002 and the phone number is (860) 243-6584.
Social Worker with taxonomy code 104100000X.
