WILLOW TREE CENTER
NPI 1992254452
Psychiatry & Neurology - Child & Adolescent Psychiatry in O Fallon, MO

NPI Status: Active since September 26, 2016

Contact Information

9979 WINGHAVEN BLVD
SUITE 202
O FALLON, MO
ZIP 63368
Phone: (636) 695-2690

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  • Organization
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance

About WILLOW TREE CENTER

This page provides the complete NPI Profile along with additional information for Willow Tree Center, a provider established in O Fallon, Missouri operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1992254452 assigned on September 2016. The practitioner's primary taxonomy code is 2084P0804X with license number 2011040150 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. Willow Tree Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Willow Tree Center. The authorized official of this NPI record is Katie Wilson Md (Medical Director)

NPI
1992254452
Provider Legal Name
WILLOW TREE MENTAL HEALTH CENTER, LLC
Other Organization Name
WILLOW TREE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9979 WINGHAVEN BLVD SUITE 202 O FALLON, MO 63368
Location Phone
(636) 695-2690
Mailing Address
2123 ROSELAKE CIR COTTLEVILLE, MO 63376
Mailing Phone
(615) 785-5124
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2016
Last Update Date
09-26-2016
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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 Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
2011040150
License State
MO
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KATIE WILSON MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(636) 695-2690

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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 1992254452, 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
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 9 → 18 → 9 2 → 4 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 8 + 2 + 4 + 5 + 8 + 4 + 1 + 0 + 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 1992254452.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pediatrics
9979 WINGHAVEN BLVD, SUITE 206
O FALLON, MO 63368
Dentist (General Practice)
9979 WINGHAVEN BLVD, 202
O FALLON, MO 63368
Chiropractor
9979 WINGHAVEN BLVD, SUITE 204
O FALLON, MO 63368
Pediatrics
9979 WINGHAVEN BLVD, SUITE 206
O FALLON, MO 63368
Dentist (Orthodontics and Dentofacial Orthopedics)
9979 WINGHAVEN BLVD, STE. 200
O FALLON, MO 63368
Psychiatry & Neurology (Psychiatry)
9979 WINGHAVEN BLVD, STE 202
O FALLON, MO 63368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992254452, enumerated as an "organization" on September 26, 2016.

The provider is located at 9979 WINGHAVEN BLVD SUITE 202 O FALLON, MO 63368 and the phone number is (636) 695-2690.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.