TYLER STEVEN POULSON
NPI 1902163678
Substance Abuse Rehabilitation Facility in Moroni, UT
NPI Status: Active since April 18, 2012
Contact Information
21260 NORTH 1450 EAST
MORONI, UT
ZIP 84646
Phone: (435) 445-5200
Fax: (435) 445-5201
- Individual
- Male
- Substance Abuse Rehabilitation Facility
About TYLER POULSON
This page provides the complete NPI Profile along with additional information for Tyler Poulson, a provider established in Moroni, Utah with a medical specialization in Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1902163678 assigned on April 2012. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1902163678
- Provider Name
- TYLER STEVEN POULSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 21260 NORTH 1450 EAST MORONI, UT 84646
- Location Phone
- (435) 445-5200
- Location Fax
- (435) 445-5201
- Mailing Address
- PO BOX 461 MORONI, UT 84646
- Mailing Phone
- (435) 445-5200
- Mailing Fax
- (435) 445-5201
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-18-2012
- Last Update Date
- 04-18-2012
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License State
- UT
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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 |
|---|---|---|---|
| 272503815 | MEDICAID (05) | UT |
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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 | 9 | 0 | 2 | 1 | 6 | 3 | 6 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 0 | 2 | 2 | 6 | 6 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 0 + 2 + 2 + 6 + 6 + 6 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1902163678 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245543313 | MR. CLARK RANDY POWELL L.C.S.W. Individual | Social Worker (Clinical) | 21260 NORTH 1450 EAST MORONI, UT 84646 (435) 851-6821 |
| 1700187424 | SANDRA NUNLEY Individual | Counselor (Addiction (Substance Use Disorder)) | 21260 NORTH 1450 EAST MORONI, UT 84646 (435) 851-6821 |
| 1043592637 | MICHAEL DAVID HASSLER Individual | Substance Abuse Rehabilitation Facility | 21260 NORTH 1450 EAST MORONI, UT 84646 (435) 445-5200 |
| 1295019818 | LORRIE A. COX Individual | Counselor (Addiction (Substance Use Disorder)) | 21260 NORTH 1450 EAST MORONI, UT 84646 (435) 851-6821 |
| 1386928901 | MACKENZIE J. BROWN Individual | Counselor (Addiction (Substance Use Disorder)) | 21260 NORTH 1450 EAST MORONI, UT 84646 (435) 851-6281 |
| 1285021055 | SKYLINE TREATMENT Organization | Residential Treatment Facility, Emotionally Disturbed Children | 21260 NORTH 1450 EAST MORONI, UT 84646 (435) 851-6821 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902163678, enumerated in the NPI registry as an "individual" on April 18, 2012
The provider is located at 21260 North 1450 East Moroni, Ut 84646 and the phone number is (435) 445-5200
The provider's speciality is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
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 18, 2012. 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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