EARLY IMPACT LLC
NPI 1023760725
Psychiatry & Neurology - Child & Adolescent Psychiatry in Indianapolis, IN

NPI Status: Active since January 24, 2022

Contact Information

4243 STUBBINGTON LN
INDIANAPOLIS, IN
ZIP 46239
Phone: (317) 319-7622

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  • Organization
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry

About EARLY IMPACT LLC

This page provides the complete NPI Profile along with additional information for Early Impact Llc, a provider established in Indianapolis, Indiana operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1023760725 assigned on January 2022. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Early Impact Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ryan Hall (Owner)

NPI
1023760725
Provider Name
EARLY IMPACT LLC
Entity Type
Organization
Location Address
4243 STUBBINGTON LN INDIANAPOLIS, IN 46239
Location Phone
(317) 319-7622
Mailing Address
4243 STUBBINGTON LN INDIANAPOLIS, IN 46239
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2022
Last Update Date
01-24-2022
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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

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
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)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 
2106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 

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

RYAN HALL

Authorized Official Title
OWNER
Authorized Official Phone
(317) 319-7622

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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.
1023760725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043146074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 4 + 6 + 0 + 7 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1023760725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023760725, enumerated in the NPI registry as an "organization" on January 24, 2022

The provider is located at 4243 Stubbington Ln Indianapolis, In 46239 and the phone number is (317) 319-7622

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

This NPI record was last updated on January 24, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.