COLBY CLARK
NPI 1194451575
Peer Specialist in Tulsa, OK
NPI Status: Active since July 27, 2022
Contact Information
4103 S YALE AVE STE B
TULSA, OK
ZIP 74135
Phone: (918) 382-7300
Fax: (918) 382-7302
- Individual
- Male
- Peer Specialist
About COLBY CLARK
This page provides the complete NPI Profile along with additional information for Colby Clark, a provider established in Tulsa, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1194451575 assigned on July 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1194451575
- Provider Name
- COLBY CLARK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4103 S YALE AVE STE B TULSA, OK 74135
- Location Phone
- (918) 382-7300
- Location Fax
- (918) 382-7302
- Mailing Address
- 4103 S YALE AVE STE B TULSA, OK 74135
- Mailing Phone
- (918) 382-7300
- Mailing Fax
- (918) 382-7302
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-27-2022
- Last Update Date
- 07-27-2022
- 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
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.
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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 | 9 | 4 | 4 | 5 | 1 | 5 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 18 | 4 | 8 | 5 | 2 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 8 + 4 + 8 + 5 + 2 + 5 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1194451575 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1558834481 | LAURA KATHRYN POLLARD Individual | Counselor (Mental Health) | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1124583356 | DELLA MAE JACQUES Individual | Case Manager/Care Coordinator | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1932767522 | MATTHEW FRIDAY Individual | Case Manager/Care Coordinator | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1023676343 | SETH VASANTH KUMAR NANDETI Individual | Counselor (Mental Health) | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1154973279 | SABIEL CONSENTINO Individual | Case Manager/Care Coordinator | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1083138663 | CAITLIN BROWNING LPC Individual | Counselor (School) | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1114572898 | MEGANN TEFERTILLER Individual | Counselor | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1295386118 | KATLYNN SUMMERS Individual | Behavior Technician | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1710538624 | ZACHARY OSBURN Individual | Behavior Technician | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1154861276 | LAURIE FERRER FNP-BC Individual | Nurse Practitioner (Family) | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1104461326 | NIA NACHELLE STOKES Individual | Case Manager/Care Coordinator | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1093352403 | CHANDA F RICHARDSON Individual | Counselor | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1184261463 | SHELBY BROOKE BIERMAN Individual | Case Manager/Care Coordinator | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1568004232 | CREOKS MENTAL HEALTH SERVICES Organization | Pharmacy (Community/Retail Pharmacy) | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 495-4128 |
| 1841311289 | CREOKS MENTAL HEALTH SERVICES Organization | Community/Behavioral Health | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1053935031 | JENNY FLOWER Individual | Case Manager/Care Coordinator | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1609490416 | JILLIAN ELIZABETH JANER Individual | Social Worker (Clinical) | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1457976052 | MADISON PERKINS Individual | Case Manager/Care Coordinator | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
| 1457969875 | ELIZABETH CHEVON JEFFERSON Individual | Case Manager/Care Coordinator | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 687-7064 |
| 1386253680 | ABBY CAROLINE HULL Individual | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 4103 S YALE AVE STE B TULSA, OK 74135 (918) 382-7300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194451575, enumerated in the NPI registry as an "individual" on July 27, 2022
The provider is located at 4103 S Yale Ave Ste B Tulsa, Ok 74135 and the phone number is (918) 382-7300
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on July 27, 2022. 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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