SANTA ROSA COUNTY SCHOOL BOARD
NPI 1013078104
Psychologist - School in Milton, FL
NPI Status: Active since December 12, 2006
Contact Information
6751 BERRYHILL ST
MILTON, FL
ZIP 32570
Phone: (850) 983-5151
Fax: (850) 983-5577
- Organization
- Psychologist
- School
- CLIA Number: 10D2281201
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-02-2027
About SANTA ROSA COUNTY SCHOOL BOARD
This page provides the complete NPI Profile along with additional information for Santa Rosa County School Board, a provider established in Milton, Florida operating as a Psychologist, focusing in school . The healthcare provider is registered in the NPI registry with number 1013078104 assigned on December 2006. The practitioner's primary taxonomy code is 103TS0200X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Roderick C. Gracey (Director Student Services)
- NPI
- 1013078104
- Provider Name
- SANTA ROSA COUNTY SCHOOL BOARD
- Entity Type
- Organization
- Location Address
- 6751 BERRYHILL ST MILTON, FL 32570
- Location Phone
- (850) 983-5151
- Location Fax
- (850) 983-5577
- Mailing Address
- 6751 BERRYHILL ST MILTON, FL 32570
- Mailing Phone
- (850) 983-5151
- Mailing Fax
- (850) 983-5577
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2006
- Last Update Date
- 01-29-2009
- 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
Psychologist School
- Taxonomy Code
- 103TS0200X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Group Taxonomy 193400000X MULTIPLE 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 |
|---|---|---|---|
| 081005317 | MEDICAID (05) | FL |
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
- 10D2281201
- Facility Type
- Physician Office
- Certificate Effective Date
- May 03, 2025
- Certificate Expiration Date
- May 02, 2027
- Laboratory Director
- KAREN HOFFMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Santa Rosa County School Board 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013078104, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
MILTON, FL 32570
MILTON, FL 32570
MILTON, FL 32570
MILTON, FL 32570
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013078104, enumerated as an "organization" on December 12, 2006.
The provider is located at 6751 BERRYHILL ST MILTON, FL 32570 and the phone number is (850) 983-5151.
Psychologist with taxonomy code 103TS0200X and a focus in School.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
