THOMAS A SEILHEIMER PH.D.
NPI 1962515577
Psychologist - Clinical in Port Huron, MI
NPI Status: Active since August 16, 2006
Contact Information
520 SUPERIOR ST
PORT HURON, MI
ZIP 48060
Phone: (810) 984-4202
- Individual
- Male
- Years of Experience 30
- Psychologist
- Clinical
- PECOS Enrolled
- Accepts Medicare Approved Payment
About THOMAS SEILHEIMER
Thomas Seilheimer is a provider established in Port Huron, Michigan and his medical specialization is Psychologist with a focus in clinical with more than 30 years of experience. He graduated from Wayne State University School Of Medicine in 1994. The healthcare provider is registered in the NPI registry with number 1962515577 assigned on August 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 6301004074 (MI). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1962515577
- Provider Name
- THOMAS A SEILHEIMER PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 520 SUPERIOR ST PORT HURON, MI 48060
- Location Phone
- (810) 984-4202
- Mailing Address
- 520 SUPERIOR ST PORT HURON, MI 48060
- Mailing Phone
- (810) 984-4202
- Medical School Name
- WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1994
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-16-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical psychologist like Thomas Seilheimer assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Thomas Seilheimer is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $43.2 for a new patient copayment and $25.16 for an established patient copayment.
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 Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301004074
- License State
- MI
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Blue Care Network of Michigan
- Blue Cross® Local HMO Bronze Extra - HMO
- Blue Cross® Local HMO Bronze Secure - HMO
- Blue Cross® Local HMO Silver Extra - HMO
- Blue Cross® Local HMO Silver Saver - HMO
- Blue Cross® Metro Detroit HMO Bronze - HMO
- Blue Cross® Metro Detroit HMO Bronze Extra - HMO
- Blue Cross® Metro Detroit HMO Silver Extra - HMO
- Blue Cross® Preferred HMO Bronze - HMO
- Blue Cross® Preferred HMO Bronze Extra - HMO
- Blue Cross® Preferred HMO Bronze Saver HSA - HMO
- Blue Cross® Preferred HMO Bronze Secure - HMO
- Blue Cross® Preferred HMO Gold - HMO
- Blue Cross® Preferred HMO Gold Extra - HMO
- Blue Cross® Preferred HMO Silver - HMO
- Blue Cross® Preferred HMO Silver Extra - HMO
Blue Cross Blue Shield of Michigan Mutual Insurance Company
- Blue Cross® Premier PPO Bronze Extra - PPO
- Blue Cross® Premier PPO Bronze HSA - PPO
- Blue Cross® Premier PPO Bronze Secure - PPO
- Blue Cross® Premier PPO Gold - PPO
- Blue Cross® Premier PPO Gold Extra - PPO
- Blue Cross® Premier PPO Silver - PPO
- Blue Cross® Premier PPO Silver Extra - PPO
- Blue Cross® Premier PPO Silver Saver HSA - PPO
- Blue Cross® Premier PPO Value - PPO
McLaren Health Plan Community
- MHP Bronze - HMO
- MHP Bronze Saver - HMO
- MHP Bronze VCP - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Gold VCP - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Exchange VCP - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
UnitedHealthcare
- UHC Bronze Copay Focus (Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value - HMO
- UHC Bronze Value HSA - HMO
- UHC Gold Advantage (Virtual Urgent Care + PCP Visits) - HMO
- UHC Gold Advantage+ (Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Copay Focus (Virtual Urgent Care + PCP Visits) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage (Virtual Urgent Care + PCP Visits) - HMO
- UHC Silver Advantage+ (Virtual Urgent Care + PCP Visits, Dental + Vision) - HMO
- UHC Silver Copay Focus (Virtual Urgent Care + PCP Visits) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value (Virtual Urgent Care) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Thomas Seilheimer 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 and Durable Medical Equipment (DME).
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
PECOS PAC ID: 941363899
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090120000479
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48060 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $172.8
- Minimum New Patient Price $56.39
- Maximum New Patient Price $172.8
- Average New Patient Copayment $43.2
- Minimum New Patient Copayment $14.09
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.65
- Minimum Established Patient Price $17.24
- Maximum Established Patient Price $140.86
- Average Established Patient Copayment $25.16
- Minimum Established Patient Copayment $4.31
- Maximum Established Patient Copayment $35.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 6 | 2 | 5 | 1 | 5 | 5 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 10 | 1 | 10 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 0 + 1 + 1 + 0 + 5 + 1 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1962515577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033152459 | LYNNE M ANDERSON Individual | Social Worker (Clinical) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1295746022 | RICHARD JAY BOSSCHER LMSW Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1922111723 | KARRIE J PAWSON LPC Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1396858304 | DR. PATRICIA A AVIGNONE PH.D. Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1487767380 | ALISA K NELSON LLP Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1881707883 | LISA E MARTIN LMSW Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1437262342 | KIRSTEN T VAZQUEZ LMSW Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1366555286 | MICHELLE M ROUSSEAU PSY.D. Individual | Psychologist (Clinical) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1275646127 | NANCY A PFEIFER LBSW Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1184738676 | LAURA W FADELL LLP Individual | Psychologist (Clinical) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1013013432 | KARI KATHLEEN TREMPLER LLPC Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1326247925 | MRS. KATHLEEN M HAGGERTY MSW Individual | Social Worker (Clinical) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1588842660 | ALFONSO BERMEA LPC Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1316199532 | CAROLINE SUSAN WILLIS LLPC Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1487809042 | RACHAEL KRUPA LLPC Individual | Counselor | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1003041682 | REBECCA LYNN GUERRA M.A., LLPC Individual | Counselor (Professional) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 455-0102 |
| 1154608800 | JENNIFER JEAN NICHOLS LPC Individual | Counselor (Professional) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1306289673 | DEBORAH LYNN ZIEGLER Individual | Counselor (Mental Health) | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1942643218 | JESSICA LEENKNEGT Individual | Counselor | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
| 1841633112 | NATHAN MAXON WOODARD Individual | Counselor | 520 SUPERIOR ST PORT HURON, MI 48060 (810) 984-4202 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962515577, enumerated in the NPI registry as an "individual" on August 16, 2006
The provider is located at 520 Superior St Port Huron, Mi 48060 and the phone number is (810) 984-4202
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider has more than 30 years of experience. He graduated from Wayne State University School Of Medicine in 1994.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 03, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $172.8 with an average copayment of $43.2 for new patient appointments. Established patients should expect a typical charge of $100.65 and an average copayment of 25.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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