SOUTHCOAST - TUFTS HEALTH PLAN
NPI 1750869681
Speech-Language Pathologist in Fairhaven, MA

NPI Status: Active since August 02, 2018

Contact Information

200 MILL RD STE 180
FAIRHAVEN, MA
ZIP 02719
Phone: (508) 973-2000
Fax: (508) 973-2001

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  • Speech-Language Pathologist

About SOUTHCOAST - TUFTS HEALTH PLAN

This page provides the complete NPI Profile along with additional information for Southcoast - Tufts Health Plan, a provider established in Fairhaven, Massachusetts operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1750869681 assigned on August 2018. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Southcoast - Tufts Health Plan operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Southcoast - Tufts Health Plan. The authorized official of this NPI record is Heather Nesby (Manager, Payer Credentialing)

NPI
1750869681
Provider Legal Name
SOUTHCOAST PHYSICIANS GROUP, INC.
Other Organization Name
SOUTHCOAST - TUFTS HEALTH PLAN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
200 MILL RD STE 180 FAIRHAVEN, MA 02719
Location Phone
(508) 973-2000
Location Fax
(508) 973-2001
Mailing Address
200 MILL RD STE 180 FAIRHAVEN, MA 02719
Mailing Phone
(508) 973-2000
Mailing Fax
(508) 973-2001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2018
Last Update Date
08-02-2018
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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

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
Taxonomy Description
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

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)
1231H00000XSpeech, Language and Hearing Service Providers

Audiologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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

HEATHER NESBY

Authorized Official Title
MANAGER, PAYER CREDENTIALING
Authorized Official Phone
(508) 973-7014

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
CD2506OTHER (01)MARAILROAD MEDICARE
BM20689MEDICAID (05)RI 
110072422AMEDICAID (05)MA 

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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 1750869681, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 9 → 18 → 9 8 → 16 → 7

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 + 6 + 1 + 8 + 6 + 1 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1750869681.

Other Providers at the Same Location


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

Counselor (Mental Health)
200 MILL RD STE 180
FAIRHAVEN, MA 02719

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750869681, enumerated as an "organization" on August 02, 2018.

The provider is located at 200 MILL RD STE 180 FAIRHAVEN, MA 02719 and the phone number is (508) 973-2000.

Speech-Language Pathologist with taxonomy code 235Z00000X.

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