FAMILY SERVICE FOUNDATION, INC
NPI 1093039182
Psychologist - Rehabilitation in Frederick, MD

NPI Status: Active since March 18, 2010

Contact Information

306 DELAWARE ROAD
FREDERICK, MD
ZIP 21701
Phone: (301) 378-0261
Fax: (301) 378-0267

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  • Organization
  • Psychologist
  • Rehabilitation

About FAMILY SERVICE FOUNDATION, INC

This page provides the complete NPI Profile along with additional information for Family Service Foundation, Inc, a provider established in Frederick, Maryland operating as a Psychologist, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1093039182 assigned on March 2010. The practitioner's primary taxonomy code is 103TR0400X with license number 4163 (MD). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Family Service Of Prince Georges County, Inc. The authorized official of this NPI record is Daphne Smith (Billing Manager)

NPI
1093039182
Provider Legal Name
FAMILY SERVICE FOUNDATION, INC
Other Organization Name
FAMILY SERVICE OF PRINCE GEORGES COUNTY, INC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
306 DELAWARE ROAD FREDERICK, MD 21701
Location Phone
(301) 378-0261
Location Fax
(301) 378-0267
Mailing Address
5301 76TH AVE LANDOVER HILLS, MD 20784
Mailing Phone
(301) 459-2121
Mailing Fax
(301) 378-0267
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2010
Last Update Date
09-19-2012
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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

Psychologist Rehabilitation

Taxonomy Code
103TR0400X
Type
Behavioral Health & Social Service Providers
License No.
4163
License State
MD
Taxonomy Description
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

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

DAPHNE SMITH

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(301) 459-2121

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
320741200MEDICAID (05)MD 
197345MEDICARE PIN (08)MD 
177772MEDICARE PIN (08)DC 

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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.
1093039182
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201830318116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 3 + 1 + 8 + 1 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1093039182 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 1093039182, enumerated in the NPI registry as an "organization" on March 18, 2010

The provider is located at 306 Delaware Road Frederick, Md 21701 and the phone number is (301) 378-0261

This medical organization specializes in Psychologist with taxonomy code 103TR0400X with a focus in Rehabilitation

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 March 18, 2010. 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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