TEN BROECK TENNESSEE PHYSICIANS GROUP INC
NPI 1417559006
Clinic/Center - Mental Health (Including Community Mental Health Center) in Windermere, FL

NPI Status: Active since November 10, 2020

Contact Information

603 MAIN ST
WINDERMERE, FL
ZIP 34786
Phone: (407) 876-2200
Fax: (855) 420-5749

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About TEN BROECK TENNESSEE PHYSICIANS GROUP INC

This page provides the complete NPI Profile along with additional information for Ten Broeck Tennessee Physicians Group Inc, a provider established in Windermere, Florida operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1417559006 assigned on November 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Glenda F Guy (Director, Compliance)

NPI
1417559006
Provider Name
TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Entity Type
Organization
Location Address
603 MAIN ST WINDERMERE, FL 34786
Location Phone
(407) 876-2200
Location Fax
(855) 420-5749
Mailing Address
603 MAIN ST WINDERMERE, FL 34786
Mailing Phone
(407) 876-2200
Mailing Fax
(855) 420-5749
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-10-2020
Last Update Date
11-10-2020
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

GLENDA F GUY

Authorized Official Title
DIRECTOR, COMPLIANCE
Authorized Official Phone
(931) 607-6513

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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.
1417559006
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24271051800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 0 + 5 + 1 + 8 + 0 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1417559006 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639599582TEN BROECK TENNESSEE PHYSICIANS GROUP INC
Organization
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)603 MAIN ST
WINDERMERE, FL 34786
(407) 876-2200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417559006, enumerated in the NPI registry as an "organization" on November 10, 2020

The provider is located at 603 Main St Windermere, Fl 34786 and the phone number is (407) 876-2200

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on November 10, 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].
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