PEDIATRIC SPECIALTY GROUP
NPI 1821049990
Pediatrics - Neurodevelopmental Disabilities in Clinton Township, MI

NPI Status: Active since May 13, 2006

Contact Information

43900 GARFIELD RD
STE. 201
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 412-5110
Fax: (586) 412-5116

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  • Organization
  • Pediatrics
  • Neurodevelopmental Disabilities

About PEDIATRIC SPECIALTY GROUP

This page provides the complete NPI Profile along with additional information for Pediatric Specialty Group, a pediatrician established in Clinton Township, Michigan operating as a Pediatrics, focusing in neurodevelopmental disabilities . The healthcare provider is registered in the NPI registry with number 1821049990 assigned on May 2006. The practitioner's primary taxonomy code is 2080P0008X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Pediatric Specialty Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pediatric Specialty Group. The authorized official of this NPI record is Mrs. Thomas M Brisse (Ceo)

NPI
1821049990
Provider Legal Name
MCLAREN MACOMB
Other Organization Name
PEDIATRIC SPECIALTY GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
43900 GARFIELD RD STE. 201 CLINTON TOWNSHIP, MI 48038
Location Phone
(586) 412-5110
Location Fax
(586) 412-5116
Mailing Address
43900 GARFIELD RD STE. 201 CLINTON TOWNSHIP, MI 48038
Mailing Phone
(586) 412-5110
Mailing Fax
(586) 412-5116
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2006
Last Update Date
05-23-2018
Code Navigator

A pediatrician like Pediatric Specialty Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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

Pediatrics Neurodevelopmental Disabilities

Taxonomy Code
2080P0008X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

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)
12080P0202XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Cardiology

 

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.

*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

MRS. THOMAS M BRISSE

Authorized Official Title
CEO
Authorized Official Phone
(586) 493-8083

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
4168314MEDICAID (05)MI 
3298762MEDICAID (05)MI 
3518937MEDICAID (05)MI 
3298780MEDICAID (05)MI 

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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 1821049990, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 2 → 4 0 → 0 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 0 + 4 + 1 + 8 + 9 + 1 + 8 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1821049990.

Other Providers at the Same Location


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

Clinic/Center (Medical Specialty)
43900 GARFIELD RD, SUITE 100
CLINTON TOWNSHIP, MI 48038
Pediatrics
43900 GARFIELD RD, STE. 205
CLINTON TOWNSHIP, MI 48038
Pediatrics
43900 GARFIELD RD, STE. 205
CLINTON TOWNSHIP, MI 48038
Radiology (Diagnostic Radiology)
43900 GARFIELD RD, SUITE 202
CLINTON TOWNSHIP, MI 48038
Psychologist
43900 GARFIELD RD, SUITE 222
CLINTON TOWNSHIP, MI 48038
Social Worker
43900 GARFIELD RD, SUITE 222
CLINTON TOWNSHIP, MI 48038
Family Medicine
43900 GARFIELD RD, SUITE 200
CLINTON TOWNSHIP, MI 48038
Counselor (Professional)
43900 GARFIELD RD, STE. 222
CLINTON TOWNSHIP, MI 48038
Psychologist
43900 GARFIELD RD, SUITE 222
CLINTON TOWNSHIP, MI 48038
Dermatology (Dermatopathology)
43900 GARFIELD RD, SUITE 100
CLINTON TOWNSHIP, MI 48038
Counselor (Professional)
43900 GARFIELD RD, SUITE 222
CLINTON TWP, MI 48038
Family Medicine
43900 GARFIELD RD, STE 121
CLINTON TWP, MI 48038
Counselor (Mental Health)
43900 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Social Worker (Clinical)
43900 GARFIELD RD
CLINTON TOWNSHIP, MI 48038
Pharmacy (Community/Retail Pharmacy)
43900 GARFIELD RD, STE 102
CLINTON TWP, MI 48038
Family Medicine
43900 GARFIELD RD, SUITE 222
CLINTON TOWNSHIP, MI 48038
Emergency Medicine
43900 GARFIELD RD, SUITE 121
CLINTON TOWNSHIP, MI 48038
Family Medicine
43900 GARFIELD RD, STE. 121
CLINTON TOWNSHIP, MI 48038
Dermatology
43900 GARFIELD RD, STE 100
CLINTON TOWNSHIP, MI 48038
Dermatology
43900 GARFIELD RD, STE 100
CLINTON TOWNSHIP, MI 48038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821049990, enumerated as an "organization" on May 13, 2006.

The provider is located at 43900 GARFIELD RD STE. 201 CLINTON TOWNSHIP, MI 48038 and the phone number is (586) 412-5110.

Pediatrics with taxonomy code 2080P0008X and a focus in Neurodevelopmental Disabilities.

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