CHRISTINE R PETRO, PSY.D., LLC
NPI 1023341518
Psychologist - Clinical Child & Adolescent in Grayson, GA

NPI Status: Active since September 15, 2009

Contact Information

69 GRAYSON NEW HOPE RD
GRAYSON, GA
ZIP 30017
Phone: (770) 785-2545

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About CHRISTINE R PETRO, PSY.D., LLC

This page provides the complete NPI Profile along with additional information for Christine R Petro, Psy.d., Llc, a provider established in Grayson, Georgia operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1023341518 assigned on September 2009. The practitioner's primary taxonomy code is 103TC2200X with license number PSY003011 (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Christine R Petro, Psy.d., Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Christine Renee Petro Psy.d. (Psy.d.)

NPI
1023341518
Provider Name
CHRISTINE R PETRO, PSY.D., LLC
Entity Type
Organization
Location Address
69 GRAYSON NEW HOPE RD GRAYSON, GA 30017
Location Phone
(770) 785-2545
Mailing Address
69 GRAYSON NEW HOPE RD GRAYSON, GA 30017
Mailing Phone
(770) 785-2545
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2009
Last Update Date
06-08-2018
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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 Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
PSY003011
License State
GA
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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)
1103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

PSY003011 (GA)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PSY003011 (GA)
3103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

PSY003011 (GA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINE RENEE PETRO PSY.D.

Authorized Official Title
PSY.D.
Authorized Official Phone
(770) 785-2545

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
668652382EMEDICAID (05)GA 
668652382CMEDICAID (05)GA 

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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 1023341518, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 3 → 6 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 6 + 4 + 2 + 5 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1023341518.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023341518, enumerated as an "organization" on September 15, 2009.

The provider is located at 69 GRAYSON NEW HOPE RD GRAYSON, GA 30017 and the phone number is (770) 785-2545.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.