OUTSPOKEN THERAPY PLLC
NPI 1063247112
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

NPI Status: Active since September 06, 2024

Contact Information

4707 N BROADWAY ST # 200
CHICAGO, IL
ZIP 60640
Phone: (312) 971-9441

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About OUTSPOKEN THERAPY PLLC

This page provides the complete NPI Profile along with additional information for Outspoken Therapy Pllc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1063247112 assigned on September 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Bridget Dietz (Owner)

NPI
1063247112
Provider Name
OUTSPOKEN THERAPY PLLC
Entity Type
Organization
Location Address
4707 N BROADWAY ST # 200 CHICAGO, IL 60640
Location Phone
(312) 971-9441
Mailing Address
4707 N BROADWAY ST # 200 CHICAGO, IL 60640
Mailing Phone
(312) 971-9441
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2024
Last Update Date
09-06-2024
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

BRIDGET DIETZ

Authorized Official Title
OWNER
Authorized Official Phone
(913) 808-8048

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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.
1063247112
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123441412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 4 + 1 + 4 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1063247112 is valid because the calculated check digit 2 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 1063247112, enumerated in the NPI registry as an "organization" on September 06, 2024

The provider is located at 4707 N Broadway St # 200 Chicago, Il 60640 and the phone number is (312) 971-9441

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on September 06, 2024. 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.