FREEDOM LOUNGE PLLC
NPI 1275154585
Nurse Practitioner - Psychiatric/Mental Health in Tempe, AZ

NPI Status: Active since April 28, 2020

Contact Information

209 E BASELINE RD STE E107
TEMPE, AZ
ZIP 85283
Phone: (480) 531-5973
Fax: (480) 542-8173

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance

About FREEDOM LOUNGE PLLC

This page provides the complete NPI Profile along with additional information for Freedom Lounge Pllc, a provider established in Tempe, Arizona operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1275154585 assigned on April 2020. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 5 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 authorized official of this NPI record is George Michael Wickham (General Partner)

NPI
1275154585
Provider Name
FREEDOM LOUNGE PLLC
Entity Type
Organization
Location Address
209 E BASELINE RD STE E107 TEMPE, AZ 85283
Location Phone
(480) 531-5973
Location Fax
(480) 542-8173
Mailing Address
209 E BASELINE RD STE E107 TEMPE, AZ 85283
Mailing Phone
(480) 531-5973
Mailing Fax
(480) 542-8173
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2020
Last Update Date
04-28-2020
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A nurse practitioner (NP) like Freedom Lounge Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

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:

  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO

*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

GEORGE MICHAEL WICKHAM

Authorized Official Title
GENERAL PARTNER
Authorized Official Phone
(480) 531-5973

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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.
1275154585
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145258516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 2 + 5 + 8 + 5 + 1 + 6 + 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 = 55

The NPI number 1275154585 is valid because the calculated check digit 5 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 1275154585, enumerated in the NPI registry as an "organization" on April 28, 2020

The provider is located at 209 E Baseline Rd Ste E107 Tempe, Az 85283 and the phone number is (480) 531-5973

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

The provider might be accepting Accepts: BannerAetna. 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 April 28, 2020. 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.