SAMARITAN CENTER - WILLOWS
NPI 1417956152
Counselor, Mental Health in Vincennes,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 15, 2005

Contact Information

515 Bayou St
Vincennes,
Post Code: 47591
Phone: (812) 886-6800
Fax: (812) 886-6809

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Samaritan Center - Willows in Vincennes - Counselor, Mental Health

Samaritan Center - Willows is a Counselor, Mental Health in Vincennes, . Samaritan Center - Willows practices all healthcare services and medical treatments related to Counselor, Mental Health. The NPI Number for Samaritan Center - Willows is 1417956152. The last update date is 2014-04-24.

Samaritan Center - Willows's current location address is 515 Bayou St, Vincennes, . You can contact this provider via phone number (812) 886-6800 and fax number (812) 886-6809. The mailing address for Samaritan Center - Willows is 515 Bayou St, Vincennes, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1417956152
Provider Legal Name
GOOD SAMARITAN HOSPITAL
Other Organization Name
SAMARITAN CENTER - WILLOWS
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
515 Bayou St, Vincennes,
Location Phone
(812) 886-6800
Location Fax
(812) 886-6809
Mailing Address
1901 Willow St, Vincennes, Indiana(IN)
Mailing Phone
812-885-2720
Mailing Fax
812-885-2723
Enumeration Date
2005-07-15
Last Update Date
2014-04-24
Code Navigator

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

Taxonomy Code
251S00000X
Type
-
License No.
4030CMHC
License State
Indiana (IN)
Taxonomy Description
-

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)
1 101YM0800X Mental Health Counselor

Counselor, Mental Health

4030 (Indiana)
2 101YS0200X School Counselor

Counselor, School

4030 (Indiana)
3 103TC0700X Clinical Psychologist

Psychologist, Clinical

4030 (Indiana)
4 1041C0700X Clinical Social Worker

Social Worker, Clinical

4030 (Indiana)
5 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

4030 (Indiana)

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
000000574020 Other (non-Medicare) (01) Indiana (IN) Athem PIN for this location
200898460A MEDICAID (05) Indiana (IN)
100270140D MEDICAID (05) Indiana (IN)
100270140G MEDICAID (05) Indiana (IN)
165526 Other (non-Medicare) (01) Indiana (IN) MHN
192453000 Other (non-Medicare) (01) Indiana (IN) Magellan
301936 Other (non-Medicare) (01) Indiana (IN) Value Options facility

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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.
1417956152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
242718512110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 242718512110
2 + 4 + 2 + 7 + 1 + 8 + 5 + 1 + 2 + 1 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1417956152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1417950452 SATTI HOME HEALTH CARE PC
Organization
Home Health 9339 CALUMET AVE
MUNSTER, Indiana (IN)
219-836-8331
1275536203 NOEL L JANSEN
Individual
Specialist 1815 N CAPITOL AVE
INDIANAPOLIS, Indiana (IN)
317-925-3533
1407859424 RICHARD T JACKSON
Individual
Podiatrist 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1164425187 BRIAN T LAURSEN
Individual
Physician Assistant 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686