HARBOR MEDICAL & ASSOCIATES SC
NPI 1457554990
Psychiatry & Neurology - Psychiatry in Racine, WI

NPI Status: Active since June 11, 2007

Contact Information

4810 NORTHWESTERN AVE
RACINE, WI
ZIP 53406
Phone: (262) 637-2050
Fax: (262) 637-3910

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry

About HARBOR MEDICAL & ASSOCIATES SC

This page provides the complete NPI Profile along with additional information for Harbor Medical & Associates Sc, a provider established in Racine, Wisconsin operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1457554990 assigned on June 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 25744-020 (WI). The provider is registered as an organization and their NPI record was last updated 18 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 Dr. Fredric Will Md (Owner)

NPI
1457554990
Provider Name
HARBOR MEDICAL & ASSOCIATES SC
Entity Type
Organization
Location Address
4810 NORTHWESTERN AVE RACINE, WI 53406
Location Phone
(262) 637-2050
Location Fax
(262) 637-3910
Mailing Address
4810 NORTHWESTERN AVE RACINE, WI 53406
Mailing Phone
(262) 637-2050
Mailing Fax
(262) 637-3910
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2007
Last Update Date
02-04-2008
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A psychiatrist like Harbor Medical & Associates Sc 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
License No.
25744-020
License State
WI
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. FREDRIC WILL MD

Authorized Official Title
OWNER
Authorized Official Phone
(262) 637-2050

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B57619MEDICARE UPIN (02)WI 
30531900MEDICAID (05)WI 
0001MEDICARE PIN (08)WI 

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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.
1457554990
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241071058918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 0 + 5 + 8 + 9 + 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 1457554990 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 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518006667MS. PAMELA JEAN KOONZ LCSW CSAC
Individual
Counselor (Addiction (Substance Use Disorder))4810 NORTHWESTERN AVE
RACINE, WI 53406
(262) 637-9984
1699817023 KATHLEEN R ROTHMEYER MSW,CADC III, LCSW
Individual
Social Worker (Clinical)4810 NORTHWESTERN AVE
RACINE, WI 53406
(262) 637-9984
1053453340 JACK A PLATE LCSW,LMFT
Individual
Social Worker (Clinical)4810 NORTHWESTERN AVE
RACINE, WI 53406
(262) 637-9984
1053453381 TOM A DEFRANCESCO LCSW, CADC
Individual
Social Worker (Clinical)4810 NORTHWESTERN AVE
RACINE, WI 53406
(262) 637-9984
1104901222 SUSAN E MOORE SCHNEIDER MSW, LCSW
Individual
Social Worker (Clinical)4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
(262) 637-9984
1164564522 MARJORIE J RICH MSSW, LCSW
Individual
Social Worker (Clinical)4810 NORTHWESTERN AVE
RACINE, WI 53406
(262) 637-9984
1992290381 JACQUELINE VENESIA MCRAE ICS, SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
(262) 637-9984
1144651159MR. RICKY A PERSON SR. CSAC. ICS
Individual
Counselor (Addiction (Substance Use Disorder))4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
(262) 583-2714
1760039085 STACEY L ADAMS
Individual
Social Worker4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
(262) 583-2714
1437485984MS. KARLA J BIDSTRUP LCSW
Individual
Social Worker (Clinical)4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
(262) 637-9984
1396349114 LAURA FRAZIER PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
(262) 583-2714
1740309699MS. SHERYL ANN DEAN LCSW,BSW,CSAC,RCS
Individual
Social Worker (Clinical)4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
(262) 634-9984
1407998719LAKESIDE FAMILY THERAPY SERVICES LTD
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))4810 NORTHWESTERN AVE
RACINE, WI 53406
(262) 637-9984
1326412693 KARI JANUSHESKE LPC
Individual
Counselor (Professional)4810 NORTHWESTERN AVE
MT PLEASANT, WI 53406
(262) 637-9984

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457554990, enumerated in the NPI registry as an "organization" on June 11, 2007

The provider is located at 4810 Northwestern Ave Racine, Wi 53406 and the phone number is (262) 637-2050

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 11, 2007. 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.