DR. SANDRA ELLEN JOHNSON CLAVELLI PSY.D. NPI 1003023714

Psychologist (Clinical) in Lake Villa, IL

NPI 1003023714 Individual Female Psychologist Clinical

NPI Profile for DR. SANDRA ELLEN JOHNSON CLAVELLI PSY.D.

Sandra Clavelli is a provider established in Lake Villa, Illinois and her medical specialization is psychologist (clinical) . The NPI number of Sandra Clavelli is 1003023714 and was assigned on May 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 71007250 (IL). The provider is registered as an individual and her NPI record was last updated 15 years ago.

A clinical psychologist like Dr. Sandra Ellen Johnson Clavelli Psy.d. assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Sandra Clavelli is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003023714

Provider NameDR. SANDRA ELLEN JOHNSON CLAVELLI PSY.D.
Provider Location Address420 W. GRAND AVE LAKE VILLA, IL 60046
Provider Mailing Address2699 HOBSON RD APT 6 WOODRIDGE, IL 60517
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-16-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.71007250
License StateIL
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

DR. SANDRA ELLEN JOHNSON CLAVELLI PSY.D.
420 W. GRAND AVE
LAKE VILLA, IL
ZIP 60046
Phone: (847) 245-6469

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Mailing Address

DR. SANDRA ELLEN JOHNSON CLAVELLI PSY.D.
2699 HOBSON RD APT 6
WOODRIDGE, IL
ZIP 60517
Phone: (847) 636-7637



NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003023714
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200302672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 6 + 7 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003023714 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417479676DR. ALISON ROGERS PSY.D
Individual
Psychologist420 W. GRAND AVE
LAKE VILLA, IL 60046
(847) 356-3322

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Sandra Ellen Johnson Clavelli Psy.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.