VINE ST CLINIC
NPI 1730217662
Psychiatry & Neurology - Psychiatry in Springfield, IL

NPI Status: Active since March 01, 2007

Contact Information

3225 HEDLEY RD
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 726-7300
Fax: (217) 726-5989

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  • Organization
  • Psychiatry & Neurology
  • Psychiatry
  • Accepts Insurance

About VINE ST CLINIC

This page provides the complete NPI Profile along with additional information for Vine St Clinic, a provider established in Springfield, Illinois operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1730217662 assigned on March 2007. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 17 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. Richard B Alexander M.d. (Partner)

NPI
1730217662
Provider Name
VINE ST CLINIC
Entity Type
Organization
Location Address
3225 HEDLEY RD SPRINGFIELD, IL 62711
Location Phone
(217) 726-7300
Location Fax
(217) 726-5989
Mailing Address
3225 HEDLEY RD PO BOX 13484 SPRINGFIELD, IL 62711
Mailing Phone
(217) 726-7300
Mailing Fax
(217) 726-5989
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2007
Last Update Date
04-01-2008
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A psychiatrist like Vine St Clinic 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
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.

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)
12084P0805XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Geriatric Psychiatry

 

Group Taxonomy 193400000X MULTIPLE 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:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO

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.

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. RICHARD B ALEXANDER M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(217) 726-7300

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
CL5057OTHER (01)GARAILROAD MEDICARE
08415473OTHER (01)ILBLUE CROSS BLUE SHIELD
210258MEDICARE PIN (08)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.
1730217662
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27604114612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 1 + 1 + 4 + 6 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1730217662 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447265145 RODICA S BRISAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1063563484MRS. DEBORAH LOUISE TAYLOR ACSW, LCSW, DCSW
Individual
Social Worker (Clinical)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-6700
1972632438DR. RICHARD B ALEXANDER M.D.
Individual
Psychiatry & Neurology (Psychiatry)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1649309113DR. FAREED TABATABAI M.D.
Individual
Psychiatry & Neurology (Psychiatry)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1356625966VINE STREET CLINICAL ASSOCIATES, LLC
Organization
Psychiatry & Neurology (Psychiatry)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1346488319 KELCY S SHORT LCPC
Individual
Counselor (Professional)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 788-4065
1699874735DR. CATHERINE MARY FOX M.D.
Individual
Psychiatry & Neurology (Psychiatry)3225 HEDLEY RD SUITE A
SPRINGFIELD, IL 62711
(217) 726-7300
1265971741 DENISE KLEMM LCSW
Individual
Social Worker (Clinical)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1396269700 AMANDA M MAVIS FNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1356645717 RICHARD SCHENKELBERG M.D.
Individual
Psychiatry & Neurology (Psychiatry)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1407349152 PATRICIA R BAUMANN MD
Individual
Psychiatry & Neurology (Psychiatry)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1801523477 CHEYENNE J SNODGRASS LCPC
Individual
Counselor (Professional)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 788-4065
1093207821DR. PHILIP BRIAN SCHOENROCK MD
Individual
Psychiatry & Neurology (Psychiatry)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1437802915 DOMINIC GIAFAGLEONE RYADDIGAN LCSW
Individual
Social Worker (Clinical)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1356903637 CARRIE MCCORMICK APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1467939140 CONSTANCE A HABENSCHUSS APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1831849579 BRENDA A WEAVER APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1871070797 EMILY JO JENNINGS APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300
1689813206 PATRICIA A FEHR LCPC
Individual
Counselor (Mental Health)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 788-4065
1083596217 MELISSA S ADAMS APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)3225 HEDLEY RD
SPRINGFIELD, IL 62711
(217) 726-7300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730217662, enumerated in the NPI registry as an "organization" on March 01, 2007

The provider is located at 3225 Hedley Rd Springfield, Il 62711 and the phone number is (217) 726-7300

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

The provider might be accepting Accepts: Aetna CVS Health, Railroad Medicare, Medicare,. 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 March 01, 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.