EVERGREEN PEDIATRIC GROUP, INC
NPI 1508133836
Community/Behavioral Health in Gilberts, IL
NPI Status: Active since December 01, 2011
- Organization
- Community/Behavioral Health
About EVERGREEN PEDIATRIC GROUP, INC
This page provides the complete NPI Profile along with additional information for Evergreen Pediatric Group, Inc, a provider established in Gilberts, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1508133836 assigned on December 2011. The practitioner's primary taxonomy code is 251S00000X with license number 1-11-9409 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Melissa Leigh Dixon Ma, Bcba, Lpc (Behavior Analyst)
- NPI
- 1508133836
- Provider Name
- EVERGREEN PEDIATRIC GROUP, INC
- Entity Type
- Organization
- Location Address
- 157 REDMOND DR GILBERTS, IL 60136
- Location Phone
- (815) 985-3882
- Mailing Address
- 157 REDMOND DR GILBERTS, IL 60136
- Mailing Phone
- (815) 985-3882
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-01-2011
- Last Update Date
- 10-02-2013
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 1-11-9409
- License State
- IL
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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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 | 5 | 0 | 8 | 1 | 3 | 3 | 8 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 2 | 3 | 6 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 2 + 3 + 6 + 8 + 6 + 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 1508133836 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508133836, enumerated in the NPI registry as an "organization" on December 01, 2011
The provider is located at 157 Redmond Dr Gilberts, Il 60136 and the phone number is (815) 985-3882
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
This NPI record was last updated on December 01, 2011. 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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