N/A
NPI 1336408632
Psychiatry & Neurology - Child & Adolescent Psychiatry in Idaho Falls, ID

NPI Status: Active since May 08, 2012

Contact Information

1680 WOODRUFF PARK
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 313-0711

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  • Organization
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry

About N/A

This page provides the complete NPI Profile along with additional information for N/a, a provider established in Idaho Falls, Idaho operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1336408632 assigned on May 2012. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated 12 years ago. N/a 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 N/a. The authorized official of this NPI record is Mrs. Lisa Renea Cruz Rn (Owner)

NPI
1336408632
Provider Legal Name
LITTLE ANGELS
Other Organization Name
N/A
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1680 WOODRUFF PARK IDAHO FALLS, ID 83401
Location Phone
(208) 313-0711
Mailing Address
1680 WOODRUFF PARK IDAHO FALLS, ID 83401
Mailing Phone
(208) 313-0711
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2012
Last Update Date
02-01-2013
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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 Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

M-9188 (ID)
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA-334 (ID)

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

MRS. LISA RENEA CRUZ RN

Authorized Official Title
OWNER
Authorized Official Phone
(208) 313-0711

Reviews for N/A

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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.
1336408632
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366801666
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 0 + 1 + 6 + 6 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1336408632 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235475849LITTLE ANGELS
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1680 WOODRUFF PARK
IDAHO FALLS, ID 83401
(208) 346-2222
1437495041LITTLE ANGELS LLC
Organization
Physician Assistant1680 WOODRUFF PARK
IDAHO FALLS, ID 83401
(208) 346-2222
1649539495LATINO STAND UP IDAHO LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1680 WOODRUFF PARK SUITE A
IDAHO FALLS, ID 83401
(208) 346-2222
1043556608LATINO STAND UP IDAHO LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1680 WOODRUFF PARK
IDAHO FALLS, ID 83401
(208) 552-6373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336408632, enumerated in the NPI registry as an "organization" on May 08, 2012

The provider is located at 1680 Woodruff Park Idaho Falls, Id 83401 and the phone number is (208) 313-0711

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

This NPI record was last updated on May 08, 2012. 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.