IBTISAM MATTA RN
NPI 1063176543
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Grand Rapids, MI
NPI Status: Active since October 29, 2021
Contact Information
790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 336-3765
- Individual
- Female
- Registered Nurse
- Psychiatric/Mental Health, Child & Adole...
About IBTISAM MATTA
This page provides the complete NPI Profile along with additional information for Ibtisam Matta, a provider established in Grand Rapids, Michigan with a medical specialization in Registered Nurse, focusing in psychiatric/mental health, child & adolescent . The healthcare provider is registered in the NPI registry with number 1063176543 assigned on October 2021. The practitioner's primary taxonomy code is 163WP0807X with license number 4704359386 (MI). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1063176543
- Provider Name
- IBTISAM MATTA RN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 790 FULLER AVE NE GRAND RAPIDS, MI 49503
- Location Phone
- (616) 336-3765
- Mailing Address
- 2610 RILEY AVE SW WYOMING, MI 49509
- Mailing Phone
- (517) 331-3895
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-29-2021
- Last Update Date
- 10-29-2021
- Code Navigator
A registered nurse (RN) like Ibtisam Matta coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
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
Registered Nurse Psychiatric/Mental Health, Child & Adolescent
- Taxonomy Code
- 163WP0807X
- Type
- Nursing Service Providers
- License No.
- 4704359386
- License State
- 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 | 6 | 3 | 1 | 7 | 6 | 5 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 2 | 7 | 12 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 2 + 7 + 1 + 2 + 5 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1063176543 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1871772426 | ERIN MAY MA LLP LPC CAADC Individual | Psychologist (Counseling) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1649501503 | MRS. VELESSAUNIA BRIDGES-WILSON MSC, LLPC Individual | Counselor (Mental Health) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1831582576 | DENNIS DOWLING LPC Individual | Counselor (Professional) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1760875389 | JANNA DAWDY RN Individual | Registered Nurse (Psychiatric/Mental Health) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1922070143 | SUSAN K STAUFFER LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 862-4004 |
| 1679965594 | STEPHANIE DODDE Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1649663196 | DIANA JACKSON-WHITFIELD MA/LBSW Individual | Social Worker | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1396138566 | MARLEAH BEVELACQUA LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-5140 |
| 1790178960 | DARRYL S WEEKLEY LMSW, ACSW, CAADC Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-8131 |
| 1568855633 | MRS. EMILY JANE-TAYLOR BAILEY MSW, LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1023116324 | DAVID G MARSHALL LPC Individual | Counselor (Professional) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1386038479 | SARAH ELIZABETH BENJAMIN LMSW Individual | Community/Behavioral Health | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1497141741 | JAMES EDWARD ASH LMSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 632-5863 |
| 1508253105 | MRS. LAURA GUYTON LLPC Individual | Counselor (Professional) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1033506647 | MR. FREDERIC GEORGE HULCE MSW Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1528447018 | ELBIN ABEN-ALDE ORELLANA MA, LLP Individual | Psychologist | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-5243 |
| 1548641319 | CARLY PETROELJE Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3909 |
| 1184937039 | KRISTIN LEIGH SPYKERMAN LMSW, CAADC Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 336-3765 |
| 1174070783 | NICOLE BROWETT Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-5128 |
| 1093018145 | MISS SHANNON M MULLETT LMSW, CAADC Individual | Social Worker (Clinical) | 790 FULLER AVE NE GRAND RAPIDS, MI 49503 (616) 855-8950 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063176543, enumerated in the NPI registry as an "individual" on October 29, 2021
The provider is located at 790 Fuller Ave Ne Grand Rapids, Mi 49503 and the phone number is (616) 336-3765
The provider's speciality is Registered Nurse with taxonomy code 163WP0807X with a focus in Psychiatric/Mental Health, Child & Adolescent
This NPI record was last updated on October 29, 2021. 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.