DUSTIN JAMES PRIDEMORE CDCA
NPI 1750887931
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Shelby, OH
NPI Status: Active since April 05, 2018
Contact Information
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
Phone: (419) 747-3322
- Individual
- Male
- Substance Abuse Rehabilitation Facility
- Substance Abuse Treatment, Children
About DUSTIN PRIDEMORE
This page provides the complete NPI Profile along with additional information for Dustin Pridemore, a provider established in Shelby, Ohio with a medical specialization in Substance Abuse Rehabilitation Facility, focusing in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1750887931 assigned on April 2018. The practitioner's primary taxonomy code is 3245S0500X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1750887931
- Provider Name
- DUSTIN JAMES PRIDEMORE CDCA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2775 STATE ROUTE 39 SHELBY, OH 44875
- Location Phone
- (419) 747-3322
- Mailing Address
- 2775 STATE ROUTE 39 SHELBY, OH 44875
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-05-2018
- Last Update Date
- 04-05-2018
- 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
Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children
- Taxonomy Code
- 3245S0500X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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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. | |||||||||
| 1 | 7 | 5 | 0 | 8 | 8 | 7 | 9 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 16 | 8 | 14 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 6 + 8 + 1 + 4 + 9 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1750887931 is valid because the calculated check digit 1 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.
ERICH DUMBECK PCC-S
Counselor
(Professional)
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MISS MYCHAL DEEB LSW
Social Worker
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
NICOLE BROWN LPCC
Counselor
(Mental Health)
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MS. STEPHNIE DARBY RN
Registered Nurse
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MR. MICHAEL EARL BUSSERT BA, CDCA
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
SCOTT WILSON BA, CDCA
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MR. ERIK THOMAS MCKEAN
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MRS. BERNADETTE I. GUCKERT CDCA
Counselor
(Mental Health)
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MS. AMY BETH CLOSE LSW, LCDC III
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MR. RYAN NICHOLAS GRAY BS, CDCA, QMHS
Substance Abuse Rehabilitation Facility
(Substance Abuse Treatment, Children)
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
CURT MICHAEL BALAS CDCA
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
JOSHUA GINTER
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
JENNIFER LYNNE SMITH BS,CDCA
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MR. BRADFORD RUSSELL NOLAND CDCA
Substance Abuse Rehabilitation Facility
(Substance Abuse Treatment, Children)
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
KENNETH D JACKSON CDCA
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
JENNIFER HORN CDCA
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
CAITLIN MARIE GREEN CDCA
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
MS. SHANNON WOLFORD LCDCIII
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
ALDEN GROSE
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
TYLER ROBERT DEISHER CDCA
Counselor
(Addiction (Substance Use Disorder))
2775 STATE ROUTE 39
SHELBY, OH
ZIP 44875
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750887931, enumerated as an "individual" on April 05, 2018.
The provider is located at 2775 STATE ROUTE 39 SHELBY, OH 44875 and the phone number is (419) 747-3322.
Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.
