CHILD & YOUTH PEDIATRIC DAY CLINIC
NPI 1184757601
Day Training, Developmentally Disabled Services in Jonesboro, AR

NPI Status: Active since March 13, 2007

Contact Information

806 GLENDALE ST
JONESBORO, AR
ZIP 72401
Phone: (870) 933-9528

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About CHILD & YOUTH PEDIATRIC DAY CLINIC

This page provides the complete NPI Profile along with additional information for Child & Youth Pediatric Day Clinic, a provider established in Jonesboro, Arkansas operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1184757601 assigned on March 2007. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Child & Youth Pediatric Day Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Child & Youth Pediatric Day Clinic. The authorized official of this NPI record is Holly Allgood (Billing Specialist)

NPI
1184757601
Provider Legal Name
ASCENT ACQUISITIONS CORP-CYPDC
Other Organization Name
CHILD & YOUTH PEDIATRIC DAY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
806 GLENDALE ST JONESBORO, AR 72401
Location Phone
(870) 933-9528
Mailing Address
3012 TURMAN DR JONESBORO, AR 72404
Mailing Phone
(870) 819-0200
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
04-12-2012
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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

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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

HOLLY ALLGOOD

Authorized Official Title
BILLING SPECIALIST
Authorized Official Phone
(870) 819-0232

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
160767742MEDICAID (05)AR 
160740526MEDICAID (05)AR 
160751724MEDICAID (05)AR 
5C363OTHER (01)ARBCBS

Reviews for CHILD & YOUTH PEDIATRIC DAY CLINIC

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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.
1184757601
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641451460
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 4 + 5 + 1 + 4 + 6 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1184757601 is valid because the calculated check digit 1 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
1114063138MRS. BRANDIE P. LIEBLONG PT
Individual
Physical Therapist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1730225566MRS. HEATHER WILSON RUFF MCD, CCC-SLP
Individual
Speech-Language Pathologist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1265579080 CASANDRA Q PATTERSON MRC ED.S LPC RPT NCC
Individual
Counselor (Mental Health)806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1710025176 MISTY MICHELLE WALKER MCD, CCC-SLP
Individual
Speech-Language Pathologist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1790823748 VONDA LEE MARSHALL MCD, CCC-SLP
Individual
Speech-Language Pathologist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1356466171 ERICA M CALDWELL MCD, CCC-SLP
Individual
Speech-Language Pathologist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1518184761MRS. PAMELA ANN BASS LPTA
Individual
Physical Therapy Assistant806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1548478167 SUSAN GAGLIANO
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1245448067 PATRICK BEAN
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1710195110 KAREN BAGGS
Individual
Case Manager/Care Coordinator806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1922216555 TEMEKIA JACKSON
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1801004437 ALLISON LUFF
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1275741811 TIFFANY SHEPHARD
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1790993343 TANESHA WILLIAMS
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1073721692 ROBBIE GIBSON
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1689882201 KIMBERLY HAMRICK
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1306054945 MONICA MCKELPHIN
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1437367026 LORNE BOOK
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1700094190 CARRIE SCHWARZ
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528
1861600454 ROSE DEARIN
Individual
Day Training/Habilitation Specialist806 GLENDALE ST
JONESBORO, AR 72401
(870) 933-9528

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184757601, enumerated in the NPI registry as an "organization" on March 13, 2007

The provider is located at 806 Glendale St Jonesboro, Ar 72401 and the phone number is (870) 933-9528

This medical organization specializes in Day Training, Developmentally Disabled Services with taxonomy code 251C00000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 13, 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].
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.