TYLER WADE GOODMAN
NPI 1124884242
Peer Specialist in Ponca City, OK

NPI Status: Active since February 26, 2024

Contact Information

93 NOEL LN
PONCA CITY, OK
ZIP 74604
Phone: (580) 485-5796

Get Directions Reviews

  • Individual
  • Male
  • Peer Specialist

About TYLER GOODMAN

This page provides the complete NPI Profile along with additional information for Tyler Goodman, a provider established in Ponca City, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1124884242 assigned on February 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1124884242
Provider Name
TYLER WADE GOODMAN
Gender
Male
Entity Type
Individual
Location Address
93 NOEL LN PONCA CITY, OK 74604
Location Phone
(580) 485-5796
Mailing Address
GRAND MENTAL HEALTH 407 S AVE PONCA CITY, OK 74604
Mailing Phone
(580) 485-5796
Is Sole Proprietor?
No
Enumeration Date
02-26-2024
Last Update Date
03-20-2024
Code Navigator

Location Map

Secondary Locations

  • 93 Noel Ln
    Ponca City, OK 74604
    (580) 485-5796

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

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Reviews for TYLER WADE GOODMAN

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1124884242
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144168828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 6 + 8 + 8 + 2 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1124884242 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 1124884242, enumerated in the NPI registry as an "individual" on February 26, 2024

The provider is located at 93 Noel Ln Ponca City, Ok 74604 and the phone number is (580) 485-5796

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on February 26, 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.