TRI-STATE BEHAVIORAL HEALTH LLC
NPI 1902073554
Psychiatry & Neurology - Psychiatry in Boonville, IN
NPI Status: Active since May 13, 2008
Contact Information
1116 MILLIS AVE
ST. MARY'S WARRICK
BOONVILLE, IN
ZIP 47601
Phone: (812) 962-2353
Fax: (812) 962-0915
- Organization
- Psychiatry & Neurology
- Psychiatry
- CLIA Number: 15D2231436
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-02-2025
About TRI-STATE BEHAVIORAL HEALTH LLC
This page provides the complete NPI Profile along with additional information for Tri-state Behavioral Health Llc, a provider established in Boonville, Indiana operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1902073554 assigned on May 2008. The practitioner's primary taxonomy code is 2084P0800X with license number 01048619A (IN). The provider is registered as an organization and their NPI record was last updated 12 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. Anjum Shehzad Ashraf M.d (Member)
- NPI
- 1902073554
- Provider Name
- TRI-STATE BEHAVIORAL HEALTH LLC
- Entity Type
- Organization
- Location Address
- 1116 MILLIS AVE ST. MARY'S WARRICK BOONVILLE, IN 47601
- Location Phone
- (812) 962-2353
- Location Fax
- (812) 962-0915
- Mailing Address
- 1900 WATERS RIDGE DR NEWBURGH, IN 47630
- Mailing Phone
- (812) 962-2353
- Mailing Fax
- (812) 962-0915
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2008
- Last Update Date
- 04-11-2013
- Code Navigator
A psychiatrist like Tri-state Behavioral Health Llc 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.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01048619A
- License State
- IN
- 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.
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.
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 |
|---|---|---|---|
| 234630 | OTHER (01) | IN | MEDICARE - ID |
| H20794 | MEDICARE UPIN (02) | IN | |
| 200478750 A | MEDICAID (05) | IN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2231436
- Facility Type
- Physician Office
- Certificate Effective Date
- August 03, 2023
- Certificate Expiration Date
- August 02, 2025
- Laboratory Director
- JASON T. FRANKLIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tri-state Behavioral Health Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TRI-STATE BEHAVIORAL HEALTH LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 9 | 0 | 2 | 0 | 7 | 3 | 5 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 0 | 7 | 6 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 0 + 7 + 6 + 5 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1902073554 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1538111901 | DR. STEPHEN R SHOEMAKER D.O. Individual | Family Medicine | 1116 MILLIS AVE SUITE 201 B BOONVILLE, IN 47601 (812) 897-7381 |
| 1316951130 | MICHELLE BLINN O'NEILL MD Individual | Personal Emergency Response Attendant | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-7130 |
| 1518078922 | RICK YEAGER MD Individual | Emergency Medicine | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-4800 |
| 1831200237 | DAVID VAUGHN MD Individual | Emergency Medicine | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-4800 |
| 1033215645 | MIDWEST MEDICAL ASSOCIATES, LLC Organization | Family Medicine | 1116 MILLIS AVE SUITE 101 BOONVILLE, IN 47601 (812) 897-7383 |
| 1770681694 | CARL LINGE MD Individual | Radiology (Diagnostic Radiology) | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-4800 |
| 1962533729 | JANELLE R WEATHERHOLT RD Individual | Dietitian, Registered | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-4800 |
| 1831221597 | ROBIN LAINE RD Individual | Dietitian, Registered | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-7130 |
| 1235389321 | FAMILY COUNSELING SERVICE, LLC Organization | Social Worker (Clinical) | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-7131 |
| 1417180308 | DR. KEITH A PHILLIPS M.D. Individual | Radiology (Diagnostic Radiology) | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-7130 |
| 1538328620 | MS. BHARGAVI MANDIPALLE MD Individual | Family Medicine | 1116 MILLIS AVE STE 101 BOONVILLE, IN 47601 (812) 897-7175 |
| 1659317725 | KENNETH R PARKER MD PC Organization | Anesthesiology | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 473-0181 |
| 1053478495 | DR. HEIDI M DUNNIWAY M.D. Individual | Otolaryngology | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 485-1400 |
| 1205828803 | ST. MARY'S WARRICK HOSPITAL, INC. Organization | General Acute Care Hospital (Critical Access) | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-4800 |
| 1588666390 | ST. MARY'S WARRICK HOSPITAL, INC Organization | General Acute Care Hospital (Critical Access) | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-7139 |
| 1679796874 | OHIO VALLEY EYE INSTITUTE Organization | Optometrist | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 421-2020 |
| 1457302564 | KENNETH R PARKER MD Individual | Anesthesiology (Pain Medicine) | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 473-0181 |
| 1508026402 | ST. MARY'S WARRICK HOSPITAL, INC. Organization | Radiology (Diagnostic Radiology) | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-4800 |
| 1992707103 | JOSEL V MIJARES M.D. Individual | Internal Medicine | 1116 MILLIS AVE BOONVILLE, IN 47601 (812) 897-7383 |
| 1447298971 | DR. CHRISTIE M REAGAN MD Individual | Emergency Medicine | 1116 MILLIS AVE SUITE 201A BOONVILLE, IN 47601 (812) 897-7381 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902073554, enumerated in the NPI registry as an "organization" on May 13, 2008
The provider is located at 1116 Millis Ave St. Mary's Warrick Boonville, In 47601 and the phone number is (812) 962-2353
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
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.
The provider's CLIA number is 15D2231436 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 13, 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].
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.