DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1861420689
Psychiatry & Neurology - Psychiatry in Jasper, IN

NPI Status: Active since June 29, 2006

Contact Information

721 W 13TH ST
SUITE 101
JASPER, IN
ZIP 47546
Phone: (812) 481-5780

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About DEACONESS MEMORIAL MEDICAL CENTER INC

This page provides the complete NPI Profile along with additional information for Deaconess Memorial Medical Center Inc, a provider established in Jasper, Indiana operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1861420689 assigned on June 2006. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated one year ago. Deaconess Memorial Medical Center Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mr. Keith Miller (Cao & Indiana Region President)

NPI
1861420689
Provider Legal Name
DEACONESS MEMORIAL MEDICAL CENTER INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
721 W 13TH ST SUITE 101 JASPER, IN 47546
Location Phone
(812) 481-5780
Mailing Address
800 W 9TH ST JASPER, IN 47546
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-29-2006
Last Update Date
08-27-2025
Code Navigator

A psychiatrist like Deaconess Memorial Medical Center Inc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Deaconess Memorial Medical Center Inc is a medicare supplier with PTAN 20678177 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Neuromuscular Elect Stimulators (NMES)/Supplies or Ultraviolet Light Devices and/or Supplies or Neurostimulators and/or Supplies or Tracheotomy Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps.

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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
32084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

 

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:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

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

MR. KEITH MILLER

Authorized Official Title
CAO & INDIANA REGION PRESIDENT
Authorized Official Phone
(812) 996-0507

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
CB3118OTHER (01)INRAILROAD MEDICARE
200048850CMEDICAID (05)IN 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20678177
Accepts Medicare Assignment
YES
Specialities List
Hospital, Pharmacy.
Provider Type List
OXYGEN & EQUIPMENT.
Competitive Bidding
NO

Supplies List

  • Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
  • Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
  • Neurostimulators and/or Supplies - Rechargable neurostimulators, Non-rechargable neurostimulators
  • Tracheotomy Supplies - Tracheostomy care kits
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Assist Devices -
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters

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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 1861420689, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 6 → 12 → 3 4 → 8 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 8 + 2 + 0 + 6 + 1 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1861420689.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
721 W 13TH ST
JASPER, IN 47546
Pediatrics
721 W 13TH ST, STE 321
JASPER, IN 47546
Pediatrics
721 W 13TH ST, STE 321
JASPER, IN 47546
Surgery
721 W 13TH ST, SUITE 220
JASPER, IN 47546
Family Medicine
721 W 13TH ST, SUITE 322
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST
JASPER, IN 47546
Psychiatry & Neurology (Neurology)
721 W 13TH ST, SUITE #221
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST, SUITE 101
JASPER, IN 47546
Otolaryngology
721 W 13TH ST, SUITE 325
JASPER, IN 47546
Family Medicine
721 W 13TH ST, STE 322
JASPER, IN 47546
Internal Medicine (Pulmonary Disease)
721 W 13TH ST, SUITE 221
JASPER, IN 47546
Urology
721 W 13TH ST, #222
JASPER, IN 47546
Clinic/Center (Primary Care)
721 W 13TH ST, SUITE 322
JASPER, IN 47546
Nurse Practitioner
721 W 13TH ST, SUITE 325
JASPER, IN 47546
Clinic/Center (Primary Care)
721 W 13TH ST, SUITE 322
JASPER, IN 47546
Nurse Practitioner (Pediatrics)
721 W 13TH ST, STE 321
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST, SUITE 121
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST, SUITE 121
JASPER, IN 47546
Pediatrics
721 W 13TH ST, SUITE 321
JASPER, IN 47546
Clinic/Center (Medical Specialty)
721 W 13TH ST, SUITE 208
JASPER, IN 47546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861420689, enumerated as an "organization" on June 29, 2006.

The provider is located at 721 W 13TH ST SUITE 101 JASPER, IN 47546 and the phone number is (812) 481-5780.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.