DEUNDRA DENISE FULLER CPSS
NPI 1023641388
Peer Specialist in Waterford, MI
NPI Status: Active since February 14, 2020
- Individual
- Female
- Peer Specialist
About DEUNDRA FULLER
This page provides the complete NPI Profile along with additional information for Deundra Fuller, a provider established in Waterford, Michigan with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1023641388 assigned on February 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1023641388
- Provider Name
- DEUNDRA DENISE FULLER CPSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 279 SUMMIT DR WATERFORD, MI 48328
- Location Phone
- (248) 409-4139
- Mailing Address
- 279 SUMMIT DR WATERFORD, MI 48328
- Mailing Phone
- (248) 409-4139
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-14-2020
- Last Update Date
- 02-14-2020
- Code Navigator
Location Map
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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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 |
|---|---|---|---|
| 175T00000X | MEDICAID (05) | MI |
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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 | 0 | 2 | 3 | 6 | 4 | 1 | 3 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 12 | 4 | 2 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 2 + 4 + 2 + 3 + 1 + 6 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1023641388 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1053364307 | MARK ANTHONY MITCHELL MSW Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 745-4900 |
| 1528094364 | ANNETTE R GILLILAND MSW Individual | Social Worker (Clinical) | 279 SUMMIT DR WATERFORD, MI 48328 (248) 745-4900 |
| 1679874432 | STEVEN HORVATH LMSW, LLMSW Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4180 |
| 1336481373 | PROF. CHRISTINE GRIPPI LMSW Individual | Social Worker (Clinical) | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4238 |
| 1083817738 | MS. CINDY MARIE STADER LMSW Individual | Social Worker (Clinical) | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4128 |
| 1972776714 | KEVIN MATTHEW MAY MA, LPC, CAADC Individual | Counselor | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4254 |
| 1760640635 | JENNIFER LYNN THAYER LLMSW Individual | Social Worker (Clinical) | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4241 |
| 1437390713 | MRS. APRIL RENAE GILLIARD-GARNER RN Individual | Registered Nurse | 279 SUMMIT DR WATERFORD, MI 48328 (248) 745-4900 |
| 1952744369 | MISS LAURA ANN SOLI LMSW Individual | Social Worker (Clinical) | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4169 |
| 1164866992 | MS. FRANCES DANELLE YOKLEY MSW Individual | Social Worker (Clinical) | 279 SUMMIT DR WATERFORD, MI 48328 (248) 745-4900 |
| 1306280052 | MS. PAMELA KAYE BENFORD LMSW Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 745-4900 |
| 1821432592 | DENNIS LEO PELTIER LMSW Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4216 |
| 1821432568 | MRS. ELLYCE ANDREA WEISS LMSW Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 871-1506 |
| 1366886962 | KEYONNA WELLS LLBSW Individual | Case Manager/Care Coordinator | 279 SUMMIT DR WATERFORD, MI 48328 (248) 745-4900 |
| 1245674837 | MR. JEFFREY RICHARD SEGNITZ B.S. Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4163 |
| 1891139325 | MS. SHEILA J ELLOUT LBSW Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 745-4900 |
| 1164866695 | MRS. LAURA JEAN MOORE LBSW, CADC Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4173 |
| 1992149405 | SHARON ANN WATTS LBSW Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4199 |
| 1457795817 | MRS. MARGUERITE E. DEMARIA OTR/L Individual | Social Worker | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4176 |
| 1245674613 | MEGHAN CALLAHAN LLMSW Individual | Social Worker (Clinical) | 279 SUMMIT DR WATERFORD, MI 48328 (248) 409-4253 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023641388, enumerated in the NPI registry as an "individual" on February 14, 2020
The provider is located at 279 Summit Dr Waterford, Mi 48328 and the phone number is (248) 409-4139
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
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 February 14, 2020. 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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