LYNN M.H. WICKBERG MD
NPI 1013014059
Psychiatry & Neurology - Child & Adolescent Psychiatry in Springfield, VT

NPI Status: Active since September 20, 2006

Contact Information

390 RIVER ST.
SPRINGFIELD, VT
ZIP 05156
Phone: (802) 886-4500
Fax: (282) 886-4520

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry

About LYNN WICKBERG

This page provides the complete NPI Profile along with additional information for Lynn Wickberg, a provider established in Springfield, Vermont with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1013014059 assigned on September 2006. The practitioner's primary taxonomy code is 2084P0804X with license number 042-0009565 (VT). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1013014059
Provider Name
LYNN M.H. WICKBERG MD
Gender
Female
Entity Type
Individual
Location Address
390 RIVER ST. SPRINGFIELD, VT 05156
Location Phone
(802) 886-4500
Location Fax
(282) 886-4520
Mailing Address
390 RIVER ST. SPRINGFIELD, VT 05156
Mailing Phone
(802) 886-4500
Mailing Fax
(282) 886-4520
Is Sole Proprietor?
No
Enumeration Date
09-20-2006
Last Update Date
11-02-2010
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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.
042-0009565
License State
VT
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)
12084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

11404 (NH)

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
1007840MEDICAID (05)VT 
H50474MEDICARE UPIN (02) 
WIRE6452MEDICARE PIN (08)NH 
81263595MEDICAID (05)NH 

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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.
1013014059
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023018010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 1 + 8 + 0 + 1 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1013014059 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831217793 DIANE L. REYNOLDS MA, LADC
Individual
Psychologist (Addiction (Substance Use Disorder))390 RIVER ST.
SPRINGFIELD, VT 05156
(802) 886-4500
1619096302 DEBORAH KELIN SMITH M.ED., LADC
Individual
Psychologist390 RIVER ST.
SPRINGFIELD, VT 05156
(802) 886-4500
1902024193 PHILIP W. SHARP LCMHC
Individual
Counselor (Professional)390 RIVER ST.
SPRINGFIELD, VT 05156
(802) 886-4500
1508181868 LORI L. MACIE LICSW
Individual
Counselor (Mental Health)390 RIVER ST. HCRS
SPRINGFIELD, VT 05156
(802) 886-4500
1740485747MRS. ERIN F. BOXER LCMHC, LADC, OT
Individual
Counselor (Mental Health)390 RIVER ST. HCRS
SPRINGFIELD, VT 05156
(802) 886-4500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013014059, enumerated in the NPI registry as an "individual" on September 20, 2006

The provider is located at 390 River St. Springfield, Vt 05156 and the phone number is (802) 886-4500

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 20, 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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