SHINE PEDIATRIC PSYCHOLOGY SERVICES PLLC
NPI 1982321964
Clinic/Center - Adolescent and Children Mental Health in Meridian, MS

NPI Status: Active since October 20, 2022

Contact Information

2449 N PARK DR STE C
MERIDIAN, MS
ZIP 39305
Phone: (601) 282-5250
Fax: (601) 286-5305

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About SHINE PEDIATRIC PSYCHOLOGY SERVICES PLLC

This page provides the complete NPI Profile along with additional information for Shine Pediatric Psychology Services Pllc, a provider established in Meridian, Mississippi operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1982321964 assigned on October 2022. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Michelle Boucher-snodgrass Ph.d. (Licensed Psychologist/owner)

NPI
1982321964
Provider Name
SHINE PEDIATRIC PSYCHOLOGY SERVICES PLLC
Entity Type
Organization
Location Address
2449 N PARK DR STE C MERIDIAN, MS 39305
Location Phone
(601) 282-5250
Location Fax
(601) 286-5305
Mailing Address
2449 N PARK DR STE C MERIDIAN, MS 39305
Mailing Phone
(601) 282-5250
Mailing Fax
(601) 286-5305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2022
Last Update Date
10-20-2022
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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

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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

DR. MICHELLE BOUCHER-SNODGRASS PH.D.

Authorized Official Title
LICENSED PSYCHOLOGIST/OWNER
Authorized Official Phone
(601) 282-5250

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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 1982321964, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 8 → 16 → 7 3 → 6 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 6 + 2 + 6 + 2 + 2 + 9 + 1 + 2 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1982321964.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist
2449 N PARK DR STE C
MERIDIAN, MS 39305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982321964, enumerated as an "organization" on October 20, 2022.

The provider is located at 2449 N PARK DR STE C MERIDIAN, MS 39305 and the phone number is (601) 282-5250.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.