BACK PORCH THERAPY PLLC
NPI 1730730052
Clinic/Center - Adult Mental Health in Tyler, TX

NPI Status: Active since September 27, 2019

Contact Information

1800 SHILOH RD STE 101
TYLER, TX
ZIP 75703
Phone: (903) 515-1474

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About BACK PORCH THERAPY PLLC

This page provides the complete NPI Profile along with additional information for Back Porch Therapy Pllc, a provider established in Tyler, Texas operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1730730052 assigned on September 2019. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jocelyn Sipes Lcsw (Therapist)

NPI
1730730052
Provider Name
BACK PORCH THERAPY PLLC
Entity Type
Organization
Location Address
1800 SHILOH RD STE 101 TYLER, TX 75703
Location Phone
(903) 515-1474
Mailing Address
1800 SHILOH RD STE 101 TYLER, TX 75703
Mailing Phone
(903) 515-1474
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2019
Last Update Date
09-27-2019
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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

JOCELYN SIPES LCSW

Authorized Official Title
THERAPIST
Authorized Official Phone
(903) 515-1474

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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.
1730730052
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27601430010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 4 + 3 + 0 + 0 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1730730052 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407348030 JOCELYN CHRISTINE SIPES LCSW
Individual
Social Worker (Clinical)1800 SHILOH RD STE 101
TYLER, TX 75703
(903) 515-1474
1740862218CONNECTIONS CLINICAL CARE, PLLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1800 SHILOH RD STE 101
TYLER, TX 75703
(903) 714-8610
1639949043TRUE PATH COUNSELING LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1800 SHILOH RD STE 101
TYLER, TX 75703
(903) 630-5740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730730052, enumerated in the NPI registry as an "organization" on September 27, 2019

The provider is located at 1800 Shiloh Rd Ste 101 Tyler, Tx 75703 and the phone number is (903) 515-1474

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on September 27, 2019. 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.