DR. KENNETH H BOHM PH.D. NPI 1831296649
Psychologist - Addiction (Substance Use Disorder) in Saint Louis, MO

Individual Male Psychologist Addiction (Substance Use Disorder)

About DR. KENNETH H BOHM PH.D.

Kenneth Bohm is a provider established in Saint Louis, Missouri and his medical specialization is Psychologist with a focus in addiction (substance use disorder) . The NPI number of Kenneth Bohm is 1831296649 and was assigned on September 2006. The practitioner's primary taxonomy code is 103TA0400X with license number 00017 (MO). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1831296649
Provider NameDR. KENNETH H BOHM PH.D.
Provider Location Address8515 DELMAR BLVD SUITE 220 SAINT LOUIS, MO 63124
Provider Mailing Address8515 DELMAR BLVD SUITE 220 SAINT LOUIS, MO 63124
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date09-20-2006
Last Update Date07-08-2007



Kenneth Bohm is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code103TA0400X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationAddiction (Substance Use Disorder)
License No.00017
License StateMO
Taxonomy DescriptionA psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Business Address

DR. KENNETH H BOHM PH.D.
8515 DELMAR BLVD
SUITE 220
SAINT LOUIS, MO
ZIP 63124
Phone: (314) 567-1044
Fax: (314) 567-1060

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Mailing Address

DR. KENNETH H BOHM PH.D.
8515 DELMAR BLVD
SUITE 220
SAINT LOUIS, MO
ZIP 63124
Phone: (314) 567-1044
Fax: (314) 567-1060


Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical00017MON/A

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
339528OTHER (01)BJC BEHAVIORAL HEALTH

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.
1831296649
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861491268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 4 + 9 + 1 + 2 + 6 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1831296649 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528038213REHABGUARD, INC
Organization
Durable Medical Equipment & Medical Supplies8515 DELMAR BLVD SUITE 225
SAINT LOUIS, MO 63124
(314) 995-7070
1750461729DR. CHEREE TRENT MILLS MD
Individual
Internal Medicine (Gastroenterology)8515 DELMAR BLVD SUITE 208
SAINT LOUIS, MO 63124
(314) 692-0111
1598882631 DANIEL LEVIN PH.D.
Individual
Psychologist (Clinical)8515 DELMAR BLVD SUITE 220
SAINT LOUIS, MO 63124
(314) 567-1044
1003021833DR. RAPHAEL IVAN WILLIAMS D.D.S.
Individual
Dentist (Periodontics)8515 DELMAR BLVD 217
SAINT LOUIS, MO 63124
(314) 993-8879
1871761957MILLS CARDIOLOGY
Organization
Internal Medicine (Cardiovascular Disease)8515 DELMAR BLVD STE.208
SAINT LOUIS, MO 63124
(314) 692-0111
1477634541DR. TILLET J MILLS MD
Individual
Internal Medicine (Cardiovascular Disease)8515 DELMAR BLVD SUITE 208
SAINT LOUIS, MO 63124
(314) 692-0111

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Kenneth H Bohm Ph.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.