DOUGLAS DON CLEVELAND III
NPI 1417580119
Peer Specialist in Roseburg, OR
NPI Status: Active since February 20, 2020
Contact Information
621 W MADRONE ST
ROSEBURG, OR
ZIP 97470
Phone: (541) 672-2691
- Individual
- Male
- Peer Specialist
About DOUGLAS CLEVELAND
This page provides the complete NPI Profile along with additional information for Douglas Cleveland, a provider established in Roseburg, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1417580119 assigned on February 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his 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.
- NPI
- 1417580119
- Provider Name
- DOUGLAS DON CLEVELAND III
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 621 W MADRONE ST ROSEBURG, OR 97470
- Location Phone
- (541) 672-2691
- Mailing Address
- PO BOX 1121 ROSEBURG, OR 97470
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-20-2020
- Last Update Date
- 04-27-2022
- Code Navigator
Location Map
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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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) |
|---|---|---|---|---|
| 1 | 175L00000X | Other Service Providers | Homeopath |
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.
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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. | |||||||||
| 1 | 4 | 1 | 7 | 5 | 8 | 0 | 1 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 10 | 8 | 0 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 0 + 8 + 0 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1417580119 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174571244 | MS. LINDA LOU WESTFALL WHCNP, NMNP Individual | Nurse Practitioner (Women's Health) | 621 W MADRONE ST SUITE 223 ROSEBURG, OR 97470 (541) 440-3521 |
| 1134214570 | TONYA L HALL LCSW Individual | Social Worker (Clinical) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3532 |
| 1093800989 | MR. WINSLOW NEEL AZPEITIA MSW Individual | Social Worker (Clinical) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3532 |
| 1013090588 | MR. DALE EDWARD WILLIAMS MC, LPC Individual | Counselor (Mental Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3532 |
| 1770630386 | COUNTY OF DOUGLAS Organization | Public Health or Welfare | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1023165792 | COUNTY OF DOUGLAS Organization | Community/Behavioral Health | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3532 |
| 1396892717 | COUNTY OF DOUGLAS Organization | Public Health or Welfare | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1023166048 | COUNTY OF DOUGLAS Organization | Public Health or Welfare | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1912193699 | MS. SHERYL LYNN ELLIOTT MSW Individual | Social Worker (Clinical) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3532 |
| 1033364211 | MR. JOE MAXEY BS Individual | Specialist | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3532 |
| 1447555776 | MS. NORAH JEAN AL-WETAID MSW Individual | Social Worker (Clinical) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3532 |
| 1710256524 | KAREN VIAN RN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3567 |
| 1407125032 | HILLARY ANN CHAPMAN RN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1013286640 | CATHERINE JOYCE PAUL RN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1144599788 | DAWNELLE MARIE MARSHALL RN, BSN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3544 |
| 1124397757 | SHARON GAYLE WRIGHT RN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1316216955 | BARBARA ANN HOFFORD RN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1649549288 | PAULETTE ILENE RAYMOND RN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1366711970 | ROSEMARY GEIER RN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
| 1477823953 | WILLIAM DALE SILING RN, BSN Individual | Registered Nurse (Community Health) | 621 W MADRONE ST ROSEBURG, OR 97470 (541) 440-3571 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417580119, enumerated in the NPI registry as an "individual" on February 20, 2020
The provider is located at 621 W Madrone St Roseburg, Or 97470 and the phone number is (541) 672-2691
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on February 20, 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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