NONE
NPI 1861766123
Exclusive Provider Organization in Brentwood, NY

NPI Status: Active since March 05, 2012

Contact Information

149 EVERGREEN AVE
BRENTWOOD, NY
ZIP 11717
Phone: (631) 435-0421
Fax: (631) 435-0421

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  • Organization
  • Exclusive Provider Organization

About NONE

This page provides the complete NPI Profile along with additional information for None, a provider established in Brentwood, New York operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1861766123 assigned on March 2012. The practitioner's primary taxonomy code is 302F00000X with license number R033117 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as None. The authorized official of this NPI record is Ms. Deborah James Epps Lcsw-r, Bcd (Ceo)

NPI
1861766123
Provider Legal Name
EPPS THERAPEUTIC PARTNERS CO.
Other Organization Name
NONE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
149 EVERGREEN AVE BRENTWOOD, NY 11717
Location Phone
(631) 435-0421
Location Fax
(631) 435-0421
Mailing Address
149 EVERGREEN AVE BRENTWOOD, NY 11717
Mailing Phone
(631) 435-0421
Mailing Fax
(631) 435-0421
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2012
Last Update Date
03-05-2012
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
R033117
License State
NY
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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

MS. DEBORAH JAMES EPPS LCSW-R, BCD

Authorized Official Title
CEO
Authorized Official Phone
(631) 435-0421

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
N6J791MEDICARE UPIN (02)NY 
N6J791OTHER (01)NYMEDICARE PROVIDER NUMBER

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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 1861766123, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 7 → 14 → 5 6 → 12 → 3 2 → 4

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 + 1 + 4 + 6 + 1 + 2 + 1 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1861766123.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861766123, enumerated as an "organization" on March 05, 2012.

The provider is located at 149 EVERGREEN AVE BRENTWOOD, NY 11717 and the phone number is (631) 435-0421.

Exclusive Provider Organization with taxonomy code 302F00000X.

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