MADISON CENTER, INC.
NPI 1104974989
Psychiatric Residential Treatment Facility in South Bend, IN
NPI Status: Active since January 08, 2007
Contact Information
403 E MADISON ST
SOUTH BEND, IN
ZIP 46617
Phone: (574) 231-0061
Fax: (574) 283-1209
- Organization
- Psychiatric Residential Treatment Facili...
About MADISON CENTER, INC.
This page provides the complete NPI Profile along with additional information for Madison Center, Inc., a provider established in South Bend, Indiana operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1104974989 assigned on January 2007. The practitioner's primary taxonomy code is 323P00000X with license number 406-1-PIP (IN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Brenda J Clanton Iii (Contracts Manager)
- NPI
- 1104974989
- Provider Name
- MADISON CENTER, INC.
- Entity Type
- Organization
- Location Address
- 403 E MADISON ST SOUTH BEND, IN 46617
- Location Phone
- (574) 231-0061
- Location Fax
- (574) 283-1209
- Mailing Address
- 403 E MADISON ST SOUTH BEND, IN 46617
- Mailing Phone
- (574) 231-0061
- Mailing Fax
- (574) 283-1209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-08-2007
- Last Update Date
- 04-07-2010
- 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
Psychiatric Residential Treatment Facility
- Taxonomy Code
- 323P00000X
- Type
- Residential Treatment Facilities
- License No.
- 406-1-PIP
- License State
- IN
- Taxonomy Description
- A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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.
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 |
|---|---|---|---|
| 955190 | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 200495360A | MEDICAID (05) | IN | |
| 237580 | MEDICARE ID-TYPE UNSPECIFIED (04) | IN | |
| 237590 | MEDICARE ID-TYPE UNSPECIFIED (04) | IN |
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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 | 1 | 0 | 4 | 9 | 7 | 4 | 9 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 7 | 8 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 7 + 8 + 9 + 1 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1104974989 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1164497962 | PHILLIP COFFEY LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1881669695 | SHAGUFTA J CHOWHAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
| 1801861612 | KATHLEEN A BONDI LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1679548499 | BILLIE RAE FEDERSPIEL NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
| 1184690786 | CYNTHIA SUSAN FODNESS CNS Individual | Clinical Nurse Specialist (Psychiatric/Mental Health) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
| 1851367361 | LOREN J BURTON PHD HSPP Individual | Psychologist (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1386610889 | RUTH ANKETELL YARGER LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
| 1598731747 | JERALD D MORRIS LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1932175197 | BRENDA L CHUPP LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1417923384 | KAREN L BLOOMER LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
| 1063488963 | LAWRENCE CARLSON WILLOUGHBY LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1043286941 | MARK V SNELL LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1588630503 | PAUL A CURRY LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
| 1649246539 | JUSTUS OUMA OJWANG LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
| 1538135587 | DALE R ENGLES LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1467429373 | THOMAS B WAS LMHC Individual | Counselor (Mental Health) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1598732406 | CINDY S SCHULZ LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1114994936 | LYNN C RHODY LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
| 1649247404 | MARY JEAN OSBERGER LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 533-1234 |
| 1518934017 | HAROLD E BERNT LCSW Individual | Social Worker (Clinical) | 403 E MADISON ST SOUTH BEND, IN 46617 (574) 234-0061 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104974989, enumerated in the NPI registry as an "organization" on January 08, 2007
The provider is located at 403 E Madison St South Bend, In 46617 and the phone number is (574) 231-0061
This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X
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 January 08, 2007. 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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