DR. MICHELLE YVONNE KIBBY-FAGLIER
NPI 1477183556
Clinical Neuropsychologist in Carbondale, IL
NPI Status: Active since January 17, 2020
Contact Information
285 LAKE INDIAN HILLS DR
CARBONDALE, IL
ZIP 62902
Phone: (618) 490-1263
- Individual
- Female
- Clinical Neuropsychologist
About MICHELLE KIBBY-FAGLIER
This page provides the complete NPI Profile along with additional information for Michelle Kibby-faglier, a provider established in Carbondale, Illinois with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1477183556 assigned on January 2020. The practitioner's primary taxonomy code is 103G00000X with license number 071.009508 (IL). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1477183556
- Provider Name
- DR. MICHELLE YVONNE KIBBY-FAGLIER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 285 LAKE INDIAN HILLS DR CARBONDALE, IL 62902
- Location Phone
- (618) 490-1263
- Mailing Address
- 285 LAKE INDIAN HILLS DR CARBONDALE, IL 62902
- Mailing Phone
- (618) 490-1263
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-17-2020
- Last Update Date
- 01-17-2020
- 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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 071.009508
- License State
- IL
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 071.009508 (IL) |
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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 | 7 | 7 | 1 | 8 | 3 | 5 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 2 | 8 | 6 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 2 + 8 + 6 + 5 + 1 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1477183556 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 |
|---|---|---|---|
| 1255961348 | CHILD AND ADOLESCENT NEUROPSYCHOLOGY SERVICES OF SOUTHERN ILLINOIS, PL Organization | Clinic/Center (Adolescent and Children Mental Health) | 285 LAKE INDIAN HILLS DR CARBONDALE, IL 62902 (618) 490-1263 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477183556, enumerated in the NPI registry as an "individual" on January 17, 2020
The provider is located at 285 Lake Indian Hills Dr Carbondale, Il 62902 and the phone number is (618) 490-1263
The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X
This NPI record was last updated on January 17, 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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