COLLABORATIVE PSYCH & MED
NPI 1972088912
Psychiatry & Neurology - Geriatric Psychiatry in Lakeland, FL

NPI Status: Active since September 26, 2018

Contact Information

4406 S FLORIDA AVE STE 31
LAKELAND, FL
ZIP 33813
Phone: (855) 732-5292
Fax: (863) 583-9926

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  • Organization
  • Psychiatry & Neurology
  • Geriatric Psychiatry

About COLLABORATIVE PSYCH & MED

This page provides the complete NPI Profile along with additional information for Collaborative Psych & Med, a provider established in Lakeland, Florida operating as a Psychiatry & Neurology, focusing in geriatric psychiatry . The healthcare provider is registered in the NPI registry with number 1972088912 assigned on September 2018. The practitioner's primary taxonomy code is 2084P0805X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Collaborative Psych & Med operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kelly Wood Bsw (Administrator)

NPI
1972088912
Provider Name
COLLABORATIVE PSYCH & MED
Entity Type
Organization
Location Address
4406 S FLORIDA AVE STE 31 LAKELAND, FL 33813
Location Phone
(855) 732-5292
Location Fax
(863) 583-9926
Mailing Address
4406 S FLORIDA AVE STE 31 LAKELAND, FL 33813
Mailing Phone
(855) 732-5292
Mailing Fax
(863) 583-9926
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2018
Last Update Date
09-26-2018
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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

Psychiatry & Neurology Geriatric Psychiatry

Taxonomy Code
2084P0805X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

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)
1103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

 
2171M00000XOther Service Providers

Case Manager/Care Coordinator

 

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.

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

KELLY WOOD BSW

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(855) 732-5292

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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 1972088912, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 7 → 14 → 5 0 → 0 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 0 + 8 + 1 + 6 + 9 + 2 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1972088912.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972088912, enumerated as an "organization" on September 26, 2018.

The provider is located at 4406 S FLORIDA AVE STE 31 LAKELAND, FL 33813 and the phone number is (855) 732-5292.

Psychiatry & Neurology with taxonomy code 2084P0805X and a focus in Geriatric Psychiatry.