LAKE NORMAN PSYCHIATRY & COUNSELING, PLLC
NPI 1568674752
Psychiatry & Neurology - Psychosomatic Medicine in Mooresville, NC

NPI Status: Active since May 03, 2007

Contact Information

116 SOUTH MAIN STREET SUITE 205
MOORESVILLE, NC
ZIP 28115
Phone: (704) 662-3270
Fax: (704) 662-3288

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  • Organization
  • Psychiatry & Neurology
  • Psychosomatic Medicine

About LAKE NORMAN PSYCHIATRY & COUNSELING, PLLC

This page provides the complete NPI Profile along with additional information for Lake Norman Psychiatry & Counseling, Pllc, a provider established in Mooresville, North Carolina operating as a Psychiatry & Neurology, focusing in psychosomatic medicine . The healthcare provider is registered in the NPI registry with number 1568674752 assigned on May 2007. The practitioner's primary taxonomy code is 2084P0015X with license number 35688 (NC). 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 Dr. John Edward Latz Jr. M.d. (Member Manager)

NPI
1568674752
Provider Name
LAKE NORMAN PSYCHIATRY & COUNSELING, PLLC
Entity Type
Organization
Location Address
116 SOUTH MAIN STREET SUITE 205 MOORESVILLE, NC 28115
Location Phone
(704) 662-3270
Location Fax
(704) 662-3288
Mailing Address
116 SOUTH MAIN STREET SUITE 205 PO BOX 900 MOORESVILLE, NC 28115
Mailing Phone
(704) 662-3270
Mailing Fax
(704) 662-3288
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
08-22-2020
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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 Psychosomatic Medicine

Taxonomy Code
2084P0015X
Type
Allopathic & Osteopathic Physicians
License No.
35688
License State
NC
Taxonomy Description
Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.

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.

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. JOHN EDWARD LATZ JR. M.D.

Authorized Official Title
MEMBER MANAGER
Authorized Official Phone
(704) 662-3200

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
0276ROTHER (01)NCBCBS GROUP NUMBER
890276RMEDICAID (05)NC 

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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.
1568674752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281278710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 7 + 8 + 7 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1568674752 is valid because the calculated check digit 2 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 1568674752, enumerated in the NPI registry as an "organization" on May 03, 2007

The provider is located at 116 South Main Street Suite 205 Mooresville, Nc 28115 and the phone number is (704) 662-3270

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0015X with a focus in Psychosomatic Medicine

The provider might be accepting Accepts: Blue Cross Blue Shield, 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 May 03, 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].
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