EASTWOOD CLINICS
NPI 1316165715
Psychologist in Saint Clair, MI

NPI Status: Active since April 23, 2007

Contact Information

132 TRUMBULL ST
SAINT CLAIR, MI
ZIP 48079
Phone: (810) 329-5340
Fax: (810) 329-8964

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  • Organization
  • Psychologist

About EASTWOOD CLINICS

This page provides the complete NPI Profile along with additional information for Eastwood Clinics, a provider established in Saint Clair, Michigan operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1316165715 assigned on April 2007. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 3 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 provider's is doing business as Eastwood Clinics. The authorized official of this NPI record is Steven Candela Lmsw (Director)

NPI
1316165715
Provider Legal Name
EASTWOOD COMMUNITY CLINICS
Other Organization Name
EASTWOOD CLINICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
132 TRUMBULL ST SAINT CLAIR, MI 48079
Location Phone
(810) 329-5340
Location Fax
(810) 329-8964
Mailing Address
28000 DEQUINDRE RD WARREN, MI 48092
Mailing Phone
(586) 753-0400
Mailing Fax
(810) 329-8964
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-23-2007
Last Update Date
07-21-2022
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A psychologist like Eastwood Clinics studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2104100000XBehavioral Health & Social Service Providers

Social Worker

 
3106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
42084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193400000X MULTIPLE 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:

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

STEVEN CANDELA LMSW

Authorized Official Title
DIRECTOR
Authorized Official Phone
(586) 753-0400

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
750910702OTHER (01)MIBCBSMI OPC NUMBER

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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.
1316165715
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326261072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 2 + 6 + 1 + 0 + 7 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1316165715 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609021567 KIMBERLY A CAMPOLONG LMSW
Individual
Social Worker132 TRUMBULL ST
SAINT CLAIR, MI 48079
(810) 329-5340
1508268251 COURTNEY MCCLELLAN LMSW
Individual
Social Worker (Clinical)132 TRUMBULL ST
SAINT CLAIR, MI 48079
(810) 329-5340
1285854414EASTWOOD COMMUNITY CLINICS
Organization
Psychologist132 TRUMBULL ST
SAINT CLAIR, MI 48079
(810) 329-5340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316165715, enumerated in the NPI registry as an "organization" on April 23, 2007

The provider is located at 132 Trumbull St Saint Clair, Mi 48079 and the phone number is (810) 329-5340

This medical organization specializes in Psychologist with taxonomy code 103T00000X

The provider might be accepting Accepts: Blue Cross Blue Shield, 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 April 23, 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.