PKC HEALTH SERVICE
NPI 1902658586
Psychiatry & Neurology - Brain Injury Medicine in Chicago Heights, IL
NPI Status: Active since April 04, 2024
Contact Information
1521 OTTO BLVD
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 303-8816
- Organization
- Psychiatry & Neurology
- Brain Injury Medicine
About PKC HEALTH SERVICE
This page provides the complete NPI Profile along with additional information for Pkc Health Service, a provider established in Chicago Heights, Illinois operating as a Psychiatry & Neurology, focusing in brain injury medicine . The healthcare provider is registered in the NPI registry with number 1902658586 assigned on April 2024. The practitioner's primary taxonomy code is 2084P0301X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pkc Health Service 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 Pkc Health Service. The authorized official of this NPI record is Lashonda Crockett (President)
- NPI
- 1902658586
- Provider Legal Name
- PKC HEALTH SERVICE
- Other Organization Name
- PKC HEALTH SERVICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1521 OTTO BLVD CHICAGO HEIGHTS, IL 60411
- Location Phone
- (708) 303-8816
- Mailing Address
- 18300 S HALSTED STE B #341 GLENWOOD, IL 60425
- Mailing Phone
- (708) 303-8816
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2024
- Last Update Date
- 09-26-2024
- Code Navigator
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 Brain Injury Medicine
- Taxonomy Code
- 2084P0301X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
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) |
|---|---|---|---|---|
| 1 | 101200000X | Behavioral Health & Social Service Providers | Drama Therapist | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | |
| 4 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
| 5 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 6 | 2081P0301X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 7 | 2084B0040X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 8 | 221700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist | |
| 9 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 10 | 225800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Recreation Therapist | |
| 11 | 225A00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist | |
| 12 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | |
| 13 | 251S00000X | Agencies | Community/Behavioral Health | |
| 14 | 253Z00000X | Agencies | In Home Supportive Care |
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.
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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 1902658586, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902658586, enumerated as an "organization" on April 04, 2024.
The provider is located at 1521 OTTO BLVD CHICAGO HEIGHTS, IL 60411 and the phone number is (708) 303-8816.
Psychiatry & Neurology with taxonomy code 2084P0301X and a focus in Brain Injury Medicine.
