LARESA GREEN
NPI 1841034295
Psychologist - Health Service in Ecorse, MI

NPI Status: Active since June 20, 2024

Contact Information

4317 11TH ST
ECORSE, MI
ZIP 48229
Phone: (313) 520-5311

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  • Individual
  • Female
  • Psychologist
  • Health Service

About LARESA GREEN

This page provides the complete NPI Profile along with additional information for Laresa Green, a provider established in Ecorse, Michigan with a medical specialization in Psychologist, focusing in health service . The healthcare provider is registered in the NPI registry with number 1841034295 assigned on June 2024. The practitioner's primary taxonomy code is 103TH0100X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1841034295
Provider Name
LARESA GREEN
Gender
Female
Entity Type
Individual
Location Address
4317 11TH ST ECORSE, MI 48229
Location Phone
(313) 520-5311
Mailing Address
4317 11TH ST ECORSE, MI 48229
Mailing Phone
(313) 520-5311
Is Sole Proprietor?
No
Enumeration Date
06-20-2024
Last Update Date
06-20-2024
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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

Psychologist Health Service

Taxonomy Code
103TH0100X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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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.
1841034295
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881038218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 0 + 3 + 8 + 2 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1841034295 is valid because the calculated check digit 5 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 1841034295, enumerated in the NPI registry as an "individual" on June 20, 2024

The provider is located at 4317 11th St Ecorse, Mi 48229 and the phone number is (313) 520-5311

The provider's speciality is Psychologist with taxonomy code 103TH0100X with a focus in Health Service

This NPI record was last updated on June 20, 2024. 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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