LIFE INTEGRATIVE MEDICINE
NPI 1326684259
Psychiatry & Neurology - Psychiatry in Wilmington, NC

NPI Status: Active since November 26, 2019

Contact Information

2018 EASTWOOD RD
WILMINGTON, NC
ZIP 28403
Phone: (910) 787-1358
Fax: (910) 344-0379

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About LIFE INTEGRATIVE MEDICINE

This page provides the complete NPI Profile along with additional information for Life Integrative Medicine, a provider established in Wilmington, North Carolina operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1326684259 assigned on November 2019. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Life Integrative Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jeremy Revell Md (Owner/provider)

NPI
1326684259
Provider Name
LIFE INTEGRATIVE MEDICINE
Entity Type
Organization
Location Address
2018 EASTWOOD RD WILMINGTON, NC 28403
Location Phone
(910) 787-1358
Location Fax
(910) 344-0379
Mailing Address
2018 EASTWOOD RD WILMINGTON, NC 28403
Mailing Phone
(910) 787-1358
Mailing Fax
(910) 344-0379
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2019
Last Update Date
11-26-2019
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A psychiatrist like Life Integrative Medicine are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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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

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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)
12084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

 
22084B0002XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Obesity Medicine

 
32084P0005XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurodevelopmental Disabilities

 
42084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

 
52084P0805XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Geriatric Psychiatry

 
62084P2900XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Pain Medicine

 
72084S0010XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Sports Medicine

 

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.

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

JEREMY REVELL MD

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(323) 216-0993

Reviews for LIFE INTEGRATIVE MEDICINE

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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.
1326684259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23461288210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 1 + 2 + 8 + 8 + 2 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1326684259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346325586MS. ELLEN LEE DUDLEY MA LPC CRC
Individual
Counselor2018 EASTWOOD RD SUITE 316
WILMINGTON, NC 28403
(910) 344-0480
1700069150ALLIED PSYCHOPHYSIOLOGY SERVICES PLLC
Organization
Psychiatry & Neurology (Clinical Neurophysiology)2018 EASTWOOD RD
WILMINGTON, NC 28403
(910) 515-4200
1881854495 ELIZABETH CLAYWELL DOXEY LPC, LCAS, CSI, CRC
Individual
Counselor (Professional)2018 EASTWOOD RD SUITE 316
WILMINGTON, NC 28403
(910) 520-2747
1396114377WILMINGTON PSYCHOTHERAPY, PLLC
Organization
Counselor (Professional)2018 EASTWOOD RD #316
WILMINGTON, NC 28403
(910) 200-2363
1417734922 JESSICA LAUREN SWANSON LMFTA
Individual
Marriage & Family Therapist2018 EASTWOOD RD
WILMINGTON, NC 28403
(910) 766-8259

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326684259, enumerated in the NPI registry as an "organization" on November 26, 2019

The provider is located at 2018 Eastwood Rd Wilmington, Nc 28403 and the phone number is (910) 787-1358

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

This NPI record was last updated on November 26, 2019. 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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