DR. SUSAN SHIVELY M.D.
NPI 1912119843
Psychoanalyst in Philadelphia, PA

NPI Status: Active since May 04, 2007

Contact Information

255 S 17TH ST
SUITE 2710
PHILADELPHIA, PA
ZIP 19103
Phone: (215) 735-1554
Fax: (215) 732-5402

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  • Individual
  • Female
  • Psychoanalyst
  • PECOS Enrolled

About SUSAN SHIVELY

This page provides the complete NPI Profile along with additional information for Susan Shively, a provider established in Philadelphia, Pennsylvania with a medical specialization in Psychoanalyst. The healthcare provider is registered in the NPI registry with number 1912119843 assigned on May 2007. The practitioner's primary taxonomy code is 102L00000X with license number MD019586E (PA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1912119843
Provider Name
DR. SUSAN SHIVELY M.D.
Gender
Female
Entity Type
Individual
Location Address
255 S 17TH ST SUITE 2710 PHILADELPHIA, PA 19103
Location Phone
(215) 735-1554
Location Fax
(215) 732-5402
Mailing Address
1900 RITTENHOUSE SQ APT 8B PHILADELPHIA, PA 19103
Mailing Phone
(215) 732-8355
Mailing Fax
(215) 732-5402
Is Sole Proprietor?
Yes
Enumeration Date
05-04-2007
Last Update Date
07-08-2007
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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

Psychoanalyst

Taxonomy Code
102L00000X
Type
Behavioral Health & Social Service Providers
License No.
MD019586E
License State
PA
Taxonomy Description
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.

Medicare Participation & PECOS Enrollment Status

Susan Shively is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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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 1912119843, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
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 1 → 2 1 → 2 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 2 + 1 + 1 + 8 + 8 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1912119843.

Other Providers at the Same Location


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

Dentist (General Practice)
255 S 17TH ST, STE 1201
PHILADELPHIA, PA 19103
Psychologist (Counseling)
255 S 17TH ST, STE 1111
PHILADELPHIA, PA 19103
Dentist (General Practice)
255 S 17TH ST, STE 1609
PHILADELPHIA, PA 19103
Psychologist
255 S 17TH ST, SUITE 2900
PHILADELPHIA, PA 19103
Psychologist (Clinical)
255 S 17TH ST, SUITE 804
PHILADELPHIA, PA 19103
Psychologist (Clinical)
255 S 17TH ST, SUITE 1111
PHILADELPHIA, PA 19103
Psychologist (Cognitive & Behavioral)
255 S 17TH ST, MEDICAL TOWER - SUITE 2708
PHILADELPHIA, PA 19103
Social Worker (Clinical)
255 S 17TH ST, SUITE 1509
PHILADELPHIA, PA 19103
Psychologist
255 S 17TH ST, 1508 MEDICAL TOWER BUILDING
PHILADELPHIA, PA 19103
Social Worker (Clinical)
255 S 17TH ST, # 1504
PHILADELPHIA, PA 19103
Internal Medicine
255 S 17TH ST, SUITE 300
PHILADELPHIA, PA 19103
Psychiatry & Neurology (Psychiatry)
255 S 17TH ST, SUITE 1905
PHILADELPHIA, PA 19103
Psychologist
255 S 17TH ST, SUITE 1405
PHILADELPHIA, PA 19103
Social Worker (Clinical)
255 S 17TH ST, SUITE 1405
PHILADELPHIA, PA 19103
Specialist
255 S 17TH ST, SUITE 2200
PHILADELPHIA, PA 19103
Dentist (General Practice)
255 S 17TH ST, SUITE 2507
PHILADELPHIA, PA 19103
Psychologist (Counseling)
255 S 17TH ST, SUITE 1405
PHILADELPHIA, PA 19103
Pharmacist
255 S 17TH ST, MEDICAL TOWER PHARMACY
PHILA, PA 19103
Counselor (Professional)
255 S 17TH ST, SUITE 1405
PHILADELPHIA, PA 19103
Social Worker (Clinical)
255 S 17TH ST, SUITE 1405
PHILADELPHIA, PA 19103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912119843, enumerated as an "individual" on May 04, 2007.

The provider is located at 255 S 17TH ST SUITE 2710 PHILADELPHIA, PA 19103 and the phone number is (215) 735-1554.

Psychoanalyst with taxonomy code 102L00000X.