MITCHELL R GOLDSTEIN, MD
NPI 1700196698
Counselor - Professional in South Bend, IN
NPI Status: Active since October 14, 2010
Contact Information
107 N EDDY ST
SOUTH BEND, IN
ZIP 46617
Phone: (574) 532-0153
Fax: (574) 246-1634
- Organization
- Counselor
- Professional
About MITCHELL R GOLDSTEIN, MD
This page provides the complete NPI Profile along with additional information for Mitchell R Goldstein, Md, a provider established in South Bend, Indiana operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1700196698 assigned on October 2010. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Mitchell Robert Goldstein Md (Owner)
- NPI
- 1700196698
- Provider Name
- MITCHELL R GOLDSTEIN, MD
- Entity Type
- Organization
- Location Address
- 107 N EDDY ST SOUTH BEND, IN 46617
- Location Phone
- (574) 532-0153
- Location Fax
- (574) 246-1634
- Mailing Address
- 107 N EDDY ST SOUTH BEND, IN 46617
- Mailing Phone
- (574) 532-0153
- Mailing Fax
- (574) 246-1634
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-14-2010
- Last Update Date
- 10-18-2010
- 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
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
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 | 251S00000X | Agencies | Community/Behavioral Health |
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.
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 |
|---|---|---|---|
| 100346980B | MEDICAID (05) | IN | |
| 183980 | MEDICARE PIN (08) |
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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 | 7 | 0 | 0 | 1 | 9 | 6 | 6 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 2 | 9 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 2 + 9 + 1 + 2 + 6 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1700196698 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023197092 | MRS. DEBORAH W KOVAS STRETCH MSW LCSW ACSW Individual | Social Worker | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1508185141 | LISA B KELLY LCSW Individual | Social Worker (Clinical) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1457793572 | MRS. MARI CHAMBERLIN MS ED Individual | Counselor (Mental Health) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1992116107 | ASHLEY S KOLBE MSW Individual | Social Worker | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1871723338 | KATHY J CANADY-NAGY LCSW Individual | Social Worker (Clinical) | 107 N EDDY ST SOUTH BEND, IN 46617 (575) 742-4610 |
| 1326567496 | RACHEL MIALKOWSKI Individual | Counselor (Mental Health) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1952864126 | CARRIE CONDER LCSW Individual | Social Worker (Clinical) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1659335636 | DR. MITCHELL ROBERT GOLDSTEIN M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700196698, enumerated in the NPI registry as an "organization" on October 14, 2010
The provider is located at 107 N Eddy St South Bend, In 46617 and the phone number is (574) 532-0153
This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional
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 October 14, 2010. 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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