SUSAN SOUTHWORTH, PSY.D. LLC
NPI 1750834701
Psychologist - Clinical in Kearney, MO

NPI Status: Active since July 26, 2016

Contact Information

302 S PLATTE CLAY WAY
SUITE 103
KEARNEY, MO
ZIP 64060
Phone: (816) 903-3800
Fax: (816) 903-9999

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  • Organization
  • Psychologist
  • Clinical

About SUSAN SOUTHWORTH, PSY.D. LLC

This page provides the complete NPI Profile along with additional information for Susan Southworth, Psy.d. Llc, a provider established in Kearney, Missouri operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750834701 assigned on July 2016. The practitioner's primary taxonomy code is 103TC0700X with license number 01928 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Susan Marie Southworth Psy.d. (Clinical Psychologist)

NPI
1750834701
Provider Name
SUSAN SOUTHWORTH, PSY.D. LLC
Entity Type
Organization
Location Address
302 S PLATTE CLAY WAY SUITE 103 KEARNEY, MO 64060
Location Phone
(816) 903-3800
Location Fax
(816) 903-9999
Mailing Address
302 S CLAY WAY SUITE 103 KEARNEY, MO 64060
Mailing Phone
(816) 903-3800
Mailing Fax
(816) 903-9999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2016
Last Update Date
07-26-2016
Code Navigator

A clinical psychologist like Susan Southworth, Psy.d. Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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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 Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
01928
License State
MO
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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.

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.

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

DR. SUSAN MARIE SOUTHWORTH PSY.D.

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(816) 903-3800

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
D76000002MEDICARE PIN (08)MO 
1235313719MEDICAID (05)MO 

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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 1750834701, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 8 → 16 → 7 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 6 + 3 + 8 + 7 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1750834701.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
302 S PLATTE CLAY WAY
KEARNEY, MO 64060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750834701, enumerated as an "organization" on July 26, 2016.

The provider is located at 302 S PLATTE CLAY WAY SUITE 103 KEARNEY, MO 64060 and the phone number is (816) 903-3800.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

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