PHOENIX HEALTH PROFESSIONAL GROUP, LLC
NPI 1063037364
Psychologist - Addiction (Substance Use Disorder) in Providence, RI
NPI Status: Active since June 11, 2020
Contact Information
99 WAYLAND AVE STE 100
PROVIDENCE, RI
ZIP 02906
Phone: (617) 771-1154
- Organization
- Psychologist
- Addiction (Substance Use Disorder)
About PHOENIX HEALTH PROFESSIONAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Phoenix Health Professional Group, Llc, a provider established in Providence, Rhode Island operating as a Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1063037364 assigned on June 2020. The practitioner's primary taxonomy code is 103TA0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Phoenix Health Professional Group, 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 Joel K Goloskie (Counsel)
- NPI
- 1063037364
- Provider Name
- PHOENIX HEALTH PROFESSIONAL GROUP, LLC
- Entity Type
- Organization
- Location Address
- 99 WAYLAND AVE STE 100 PROVIDENCE, RI 02906
- Location Phone
- (617) 771-1154
- Mailing Address
- 1301 ATWOOD AVE STE 100 JOHNSTON, RI 02919
- Mailing Phone
- (617) 771-1154
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2020
- Last Update Date
- 06-11-2020
- 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
Psychologist Addiction (Substance Use Disorder)
- Taxonomy Code
- 103TA0400X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 163WA0400X | Nursing Service Providers | Registered Nurse |
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.
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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 | 6 | 3 | 0 | 3 | 7 | 3 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 0 | 3 | 14 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 0 + 3 + 1 + 4 + 3 + 1 + 2 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1063037364 is valid because the calculated check digit 4 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 1063037364, enumerated in the NPI registry as an "organization" on June 11, 2020
The provider is located at 99 Wayland Ave Ste 100 Providence, Ri 02906 and the phone number is (617) 771-1154
This medical organization specializes in Psychologist with taxonomy code 103TA0400X with a focus in Addiction (Substance Use Disorder)
This NPI record was last updated on June 11, 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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