MR. SAMUEL AUSTIN FORMANEK
NPI 1811595259
Counselor - Mental Health in New York, NY

NPI Status: Active since October 16, 2020

Contact Information

248 W 108TH ST
NEW YORK, NY
ZIP 10025
Phone: (212) 663-3000

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  • Individual
  • Male
  • Counselor
  • Mental Health
  • Accepts Insurance

About SAMUEL FORMANEK

This page provides the complete NPI Profile along with additional information for Samuel Formanek, a provider established in New York, New York with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1811595259 assigned on October 2020. The practitioner's primary taxonomy code is 101YM0800X with license number P107181 (NY). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1811595259
Provider Name
MR. SAMUEL AUSTIN FORMANEK
Gender
Male
Entity Type
Individual
Location Address
248 W 108TH ST NEW YORK, NY 10025
Location Phone
(212) 663-3000
Mailing Address
41 CORELL RD SCARSDALE, NY 10583
Mailing Phone
(191) 484-4297
Is Sole Proprietor?
Yes
Enumeration Date
10-16-2020
Last Update Date
11-27-2023
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A mental health counselor like Samuel Formanek provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
P107181
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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
P107181OTHER (01)NYNY STATE LICENSE PERMIT
P107181MEDICAID (05)NY 

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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 1811595259, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 1 + 0 + 9 + 1 + 0 + 2 + 1 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1811595259.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
248 W 108TH ST
NEW YORK, NY 10025
Social Worker (Clinical)
248 W 108TH ST, 6TH FLOOR
NEW YORK, NY 10025
Clinic/Center (Mental Health (Including Community Mental Health Center))
248 W 108TH ST
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
248 W 108TH ST
NEW YORK, NY 10025
Social Worker (Clinical)
248 W 108TH ST
NEW YORK, NY 10025
Registered Nurse
248 W 108TH ST
NEW YORK, NY 10025
Licensed Practical Nurse
248 W 108TH ST, BRIDGE ACT TEAM
NEW YORK, NY 10025
Community/Behavioral Health
248 W 108TH ST
NEW YORK, NY 10025
Counselor (Addiction (Substance Use Disorder))
248 W 108TH ST
NEW YORK, NY 10025
Social Worker
248 W 108TH ST
NEW YORK, NY 10025
Social Worker (Clinical)
248 W 108TH ST
NEW YORK, NY 10025
Counselor (Mental Health)
248 W 108TH ST
NEW YORK, NY 10025
Counselor (Mental Health)
248 W 108TH ST
NEW YORK, NY 10025
Counselor (Mental Health)
248 W 108TH ST
NEW YORK, NY 10025
Community/Behavioral Health
248 W 108TH ST, 6TH FLOOR
NEW YORK, NY 10025
Social Worker
248 W 108TH ST
NEW YORK, NY 10025
Counselor (Mental Health)
248 W 108TH ST
NEW YORK, NY 10025
Social Worker
248 W 108TH ST
NEW YORK, NY 10025
Counselor (Mental Health)
248 W 108TH ST
NEW YORK, NY 10025
Social Worker (Clinical)
248 W 108TH ST
NEW YORK, NY 10025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811595259, enumerated as an "individual" on October 16, 2020.

The provider is located at 248 W 108TH ST NEW YORK, NY 10025 and the phone number is (212) 663-3000.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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