KELLY T CLOUSE MD
NPI 1932104288
Psychiatry & Neurology, Psychiatry in Orange Park,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 14, 2005

Contact Information

2021 Professional Center Dr Ste 101
Orange Park,
Post Code: 32073
Phone: (904) 213-9210
Fax: (904) 213-9211

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Kelly T Clouse Md in Orange Park - Psychiatry & Neurology, Psychiatry

Kelly T Clouse Md is a Psychiatry & Neurology, Psychiatry in Orange Park, . Kelly T Clouse Md practices all healthcare services and medical treatments related to Psychiatry & Neurology, Psychiatry. The NPI Number for Kelly T Clouse Md is 1932104288. The last update date is 2022-01-21.

Kelly T Clouse Md's current location address is 2021 Professional Center Dr Ste 101, Orange Park, . You can contact this provider via phone number (904) 213-9210 and fax number (904) 213-9211. The mailing address for Kelly T Clouse Md is 2021 Professional Center Dr Ste 101, Orange Park, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1932104288
Provider Name
KELLY T CLOUSE MD
Gender
Male
Entity Type
Individual
Location Address
2021 Professional Center Dr Ste 101, Orange Park,
Location Phone
(904) 213-9210
Location Fax
(904) 213-9211
Mailing Address
2021 Professional Center Dr Ste 101, Orange Park, Florida(FL)
Mailing Phone
904-213-9210
Mailing Fax
904-213-9211
Enumeration Date
2005-06-14
Last Update Date
2022-01-21
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

Psychiatry & Neurology, Psychiatry

Taxonomy Code
2084P0800X
Type
-
License No.
ME110938
License State
Florida (FL)
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 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

46974 (Wisconsin)

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
34564000 MEDICAID (05) Wisconsin (WI)

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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.
1932104288
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2962208216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2962208216
2 + 9 + 6 + 2 + 2 + 0 + 8 + 2 + 1 + 6 + 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 1932104288 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 5 providers are registered at the same or nearby location.

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1588667638 WILLIAM C PILCHER
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Individual
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TALLAHASSEE, Florida (FL)
850-878-8235
1699778647 VISITING HOME HEALTH SERVICES, INC
LIFE CARE AT HOME
Organization
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423-473-5256
1861495814 FRANCISCO ALBERTO SMITH
Individual
Obstetrics & Gynecology, Gynecologic Oncology 1660 MEDICAL BLVD
NAPLES, Florida (FL)
239-596-1995
1306849336 ERIC L TOWNSEND
Individual
Dentist, General Practice 105 SOLANA RD
PONTE VEDRA, Florida (FL)
904-285-7711