JEFFREY W BURNETT HSPP
NPI 1720055304
Psychologist - Cognitive & Behavioral in South Bend, IN
NPI Status: Active since March 02, 2006
Contact Information
611 LINCOLN WAY E
SOUTH BEND, IN
ZIP 46601
Phone: (574) 232-2255
Fax: (574) 232-8968
- Individual
- Male
- Psychologist
- Cognitive & Behavioral
- Accepts Insurance
About JEFFREY BURNETT
This page provides the complete NPI Profile along with additional information for Jeffrey Burnett, a provider established in South Bend, Indiana with a medical specialization in Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1720055304 assigned on March 2006. The practitioner's primary taxonomy code is 103TB0200X with license number 20041003A (IN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1720055304
- Provider Name
- JEFFREY W BURNETT HSPP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 611 LINCOLN WAY E SOUTH BEND, IN 46601
- Location Phone
- (574) 232-2255
- Location Fax
- (574) 232-8968
- Mailing Address
- 611 LINCOLN WAY E SOUTH BEND, IN 46601
- Mailing Phone
- (574) 232-2255
- Mailing Fax
- (574) 232-8968
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-02-2006
- Last Update Date
- 12-10-2008
- 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
Psychologist Cognitive & Behavioral
- Taxonomy Code
- 103TB0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 20041003A
- License State
- IN
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - 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 |
|---|---|---|---|
| 148470X | OTHER (01) | IN | UNSPECIFIED |
| 200200770A | MEDICAID (05) | IN | |
| S19173 | MEDICARE UPIN (02) |
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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 1720055304, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
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 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720055304, enumerated as an "individual" on March 02, 2006.
The provider is located at 611 LINCOLN WAY E SOUTH BEND, IN 46601 and the phone number is (574) 232-2255.
Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
