ILLUMINATE PSYCHOTHERAPY PLLC
NPI 1417568890
Psychologist - Clinical in Chattanooga, TN

NPI Status: Active since August 11, 2020

Contact Information

101 JORDAN DR
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 510-1999

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  • Organization
  • Psychologist
  • Clinical

About ILLUMINATE PSYCHOTHERAPY PLLC

This page provides the complete NPI Profile along with additional information for Illuminate Psychotherapy Pllc, a provider established in Chattanooga, Tennessee operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1417568890 assigned on August 2020. The practitioner's primary taxonomy code is 103TC0700X. 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 Ms. Judy Gilliam (Administrative Expert)

NPI
1417568890
Provider Name
ILLUMINATE PSYCHOTHERAPY PLLC
Entity Type
Organization
Location Address
101 JORDAN DR CHATTANOOGA, TN 37421
Location Phone
(423) 510-1999
Mailing Address
101 JORDAN DR CHATTANOOGA, TN 37421
Mailing Phone
(423) 510-1999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2020
Last Update Date
08-11-2020
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A clinical psychologist like Illuminate Psychotherapy Pllc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help 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 Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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.

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

MS. JUDY GILLIAM

Authorized Official Title
ADMINISTRATIVE EXPERT
Authorized Official Phone
(423) 510-1999

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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.
1417568890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242710616818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 2 + 7 + 1 + 0 + 6 + 1 + 6 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1417568890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720079379MRS. WENDY KILPATRICK BOVELL LCSW
Individual
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 510-1999
1184644452MRS. FREDA J COOK LCSW
Individual
Social Worker101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 510-1999
1396848743MRS. CATHERINE HAMMOND MCLEOD LICENSED CLINICAL SO
Individual
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 510-1999
1205937802PSYCHOTHERAPY ALTERNATIVES, PLLC
Organization
Counselor (Mental Health)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 510-1999
1689707390MRS. DEBORAH STANTON GRACIA L.C.S.W., L.D.C.
Individual
Counselor (Addiction (Substance Use Disorder))101 JORDAN DR JORDAN PROFESSIONAL BUILDING
CHATTANOOGA, TN 37421
(423) 499-8894
1659569192 SUZANNE P KELLEY LPC/MHSP, NCC
Individual
Counselor (Professional)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 509-3829
1508035254PSYCHOLOGICAL ALTERNATIVES, PLLC
Organization
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 510-1999
1316188824MRS. VEANNA TAYLOR LCSW
Individual
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 400-8586
1336688605SERENITY COUNSELING, LLC
Organization
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 510-1999
1922566397 CORLISS ALICE LAWLER LCSW
Individual
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 458-2557
1326310301 JULIA W GOODOWENS LCSW
Individual
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 316-5409
1144457052DR. BRANDON SANTAN PHD, LPC/MHSP, NCC
Individual
Counselor (Professional)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 834-7209
1588209233THRIVEPOINT, PLLC
Organization
Clinic/Center (Adult Mental Health)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 834-7209
1063846822 POOJA KHARIWAL
Individual
Psychologist (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 510-1999
1437299245 LAURA SCHREEDER HUBONA LCSW
Individual
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(423) 510-1999
1316968712MS. LAURA DAWN HODGES MSW, LCSW
Individual
Social Worker (Clinical)101 JORDAN DR
CHATTANOOGA, TN 37421
(314) 954-0217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417568890, enumerated in the NPI registry as an "organization" on August 11, 2020

The provider is located at 101 Jordan Dr Chattanooga, Tn 37421 and the phone number is (423) 510-1999

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on August 11, 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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