CENTER FOR PSYCHOLOGICAL HEALTH AND WELL-BEING
NPI 1750553533
Psychologist - Clinical in Aurora, MO

NPI Status: Active since April 01, 2008

Contact Information

308 W CHURCH ST
AURORA, MO
ZIP 65605
Phone: (417) 678-5532
Fax: (417) 678-6242

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  • Organization
  • Psychologist
  • Clinical

About CENTER FOR PSYCHOLOGICAL HEALTH AND WELL-BEING

This page provides the complete NPI Profile along with additional information for Center For Psychological Health And Well-being, a provider established in Aurora, Missouri operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750553533 assigned on April 2008. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 16 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 provider's is doing business as Center For Psychological Health And Well-being. The authorized official of this NPI record is Dr. Brian D Petrovich Psyd (Member)

NPI
1750553533
Provider Legal Name
BRIAN D. PETROVICH, PSYD, LPC, LLC
Other Organization Name
CENTER FOR PSYCHOLOGICAL HEALTH AND WELL-BEING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
308 W CHURCH ST AURORA, MO 65605
Location Phone
(417) 678-5532
Location Fax
(417) 678-6242
Mailing Address
308 W CHURCH ST AURORA, MO 65605
Mailing Phone
(417) 678-5532
Mailing Fax
(417) 678-6242
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2008
Last Update Date
10-26-2009
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A clinical psychologist like Center For Psychological Health And Well-being assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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.

*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. BRIAN D PETROVICH PSYD

Authorized Official Title
MEMBER
Authorized Official Phone
(417) 678-5532

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
Y37529MEDICARE UPIN (02)MO 
220244625MEDICARE PIN (08)MO 

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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.
1750553533
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100105656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 6 + 5 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1750553533 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639140809MRS. CHERYL ANNETTE HELTON LPC
Individual
Counselor (Mental Health)308 W CHURCH ST
AURORA, MO 65605
(417) 678-5532
1063646990MR. JOHN WATSON TINER P.L.P.C
Individual
Counselor (Professional)308 W CHURCH ST
AURORA, MO 65605
(417) 678-5532
1134190317MR. JAMES DONALD MYHRE LPC
Individual
Counselor (Mental Health)308 W CHURCH ST
AURORA, MO 65605
(417) 678-5532
1366911711PREFERRED FAMILY HEALTHCARE, INC.
Organization
Clinic/Center (Adolescent and Children Mental Health)308 W CHURCH ST
AURORA, MO 65605
(417) 467-0680

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750553533, enumerated in the NPI registry as an "organization" on April 01, 2008

The provider is located at 308 W Church St Aurora, Mo 65605 and the phone number is (417) 678-5532

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

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 April 01, 2008. 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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