KALAMAZOO TMS & BEHAVIORAL HEALTH
NPI 1932635521
Psychologist - Prescribing (Medical) in Portage, MI
NPI Status: Active since May 03, 2017
Contact Information
5930 LOVERS LN STE 3
PORTAGE, MI
ZIP 49002
Phone: (269) 381-6950
Fax: (269) 381-6954
- Organization
- Psychologist
- Prescribing (Medical)
About KALAMAZOO TMS & BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Kalamazoo Tms & Behavioral Health, a provider established in Portage, Michigan operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1932635521 assigned on May 2017. The practitioner's primary taxonomy code is 103TP0016X with license number 4301078095 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Kalamazoo Tms & Behavioral Health. The authorized official of this NPI record is Ruqiya Tareen M.d. (Medical Director)
- NPI
- 1932635521
- Provider Legal Name
- SOUTH MI PSYCHIATRIC SERVICES LLC
- Other Organization Name
- KALAMAZOO TMS & BEHAVIORAL HEALTH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 5930 LOVERS LN STE 3 PORTAGE, MI 49002
- Location Phone
- (269) 381-6950
- Location Fax
- (269) 381-6954
- Mailing Address
- 5930 LOVERS LN STE 3 PORTAGE, MI 49002
- Mailing Phone
- (269) 381-6950
- Mailing Fax
- (269) 381-6954
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-03-2017
- Last Update Date
- 05-03-2017
- 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
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4301078095
- License State
- MI
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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 |
|---|---|---|---|
| 1598724122 | OTHER (01) | MI | NATIONAL IDENTIFICATION NUMBER |
| 1932194214 | OTHER (01) | MI | NATIONAL IDENTIFICATION NUMBER |
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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. | |||||||||
| 1 | 9 | 3 | 2 | 6 | 3 | 5 | 5 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 12 | 3 | 10 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 1 + 2 + 3 + 1 + 0 + 5 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1932635521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
MRS. AMY JO FRITZ NP
Nurse Practitioner
(Adult Health)
5930 LOVERS LN STE 3
PORTAGE, MI
ZIP 49002
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932635521, enumerated as an "organization" on May 03, 2017.
The provider is located at 5930 LOVERS LN STE 3 PORTAGE, MI 49002 and the phone number is (269) 381-6950.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
