DR. ROBERT CORNELL VAN SICLEN PHD
NPI 1871674978
Psychologist - Cognitive & Behavioral in Coon Rapids, MN
NPI Status: Active since October 17, 2006
Contact Information
277 COON RAPIDS BLVD NW
SUITE 308
COON RAPIDS, MN
ZIP 55433
Phone: (763) 717-4979
Fax: (763) 717-4954
- Individual
- Male
- Psychologist
- Cognitive & Behavioral
- Accepts Insurance
About ROBERT VAN SICLEN
This page provides the complete NPI Profile along with additional information for Robert Van Siclen, a provider established in Coon Rapids, Minnesota with a medical specialization in Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1871674978 assigned on October 2006. The practitioner's primary taxonomy code is 103TB0200X with license number LP2775 (MN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1871674978
- Provider Name
- DR. ROBERT CORNELL VAN SICLEN PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 277 COON RAPIDS BLVD NW SUITE 308 COON RAPIDS, MN 55433
- Location Phone
- (763) 717-4979
- Location Fax
- (763) 717-4954
- Mailing Address
- 277 COON RAPIDS BOULEVARD SUITE 308 COON RAPIDS, MN 55433
- Mailing Phone
- (763) 717-4979
- Mailing Fax
- (763) 717-4954
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-17-2006
- Last Update Date
- 07-08-2007
- 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
Psychologist Cognitive & Behavioral
- Taxonomy Code
- 103TB0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LP2775
- License State
- MN
- Taxonomy Description
- A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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) |
|---|
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
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.
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 |
|---|---|---|---|
| 108029 | OTHER (01) | MN | UCARE PROVIDER NUMBER |
| 61-20060 | OTHER (01) | MN | UNITED BEHAVIORAL HEALTH |
| 3K444VA | OTHER (01) | MN | BLUE CROSS BLUE SHIELD |
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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 | 8 | 7 | 1 | 6 | 7 | 4 | 9 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 12 | 7 | 8 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 1 + 2 + 7 + 8 + 9 + 1 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1871674978 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740348283 | MS. BONNIE INEZ NORSTED M.A. Individual | Counselor (Mental Health) | 277 COON RAPIDS BLVD NW SUITE 308 COON RAPIDS, MN 55433 (763) 784-3405 |
| 1912376526 | MYATU ABRAHAM Individual | Technician (Personal Care Attendant) | 277 COON RAPIDS BLVD NW SUITE 410 COON RAPIDS, MN 55433 (651) 432-1406 |
| 1225187941 | JODI LEE HELSETH M.A., LPCC Individual | Counselor (Professional) | 277 COON RAPIDS BLVD NW SUITE 402 COON RAPIDS, MN 55433 (763) 234-0240 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871674978, enumerated in the NPI registry as an "individual" on October 17, 2006
The provider is located at 277 Coon Rapids Blvd Nw Suite 308 Coon Rapids, Mn 55433 and the phone number is (763) 717-4979
The provider's speciality is Psychologist with taxonomy code 103TB0200X with a focus in Cognitive & Behavioral
The provider might be accepting Accepts: HealthPartners, Medicare, Medicaid and Blue Cross. 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 17, 2006. 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.