TRACY CORNER
NPI 1033258421
Licensed Psychiatric Technician in San Mateo, CA

NPI Status: Active since February 05, 2007

Contact Information

136 N SAN MATEO DR
SUITE 101
SAN MATEO, CA
ZIP 94401
Phone: (650) 373-0777
Fax: (650) 373-0778

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Licensed Psychiatric Technician

About TRACY CORNER

This page provides the complete NPI Profile along with additional information for Tracy Corner, a provider established in San Mateo, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1033258421 assigned on February 2007. The practitioner's primary taxonomy code is 167G00000X with license number PT29823 (CA). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI: 1033258421
Provider Name: TRACY CORNER
Gender: Female
Entity Type: Individual
Location Address: 136 N SAN MATEO DR SUITE 101 SAN MATEO, CA 94401
Location Phone: (650) 373-0777
Location Fax: (650) 373-0778
Mailing Address: 521 ROCKY WAY POBOX 620703 WOODSIDE, CA 94062
Mailing Phone: (650) 599-9419
Is Sole Proprietor?: No
Enumeration Date: 02-05-2007
Last Update Date: 07-08-2007
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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: Licensed Psychiatric Technician
Taxonomy Code: 167G00000X
Type: Nursing Service Providers
License No.: PT29823
License State: CA
Taxonomy Description: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
PT29823	OTHER (01)	CA	LPT

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.
1	0	3	3	2	5	8	4	2	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	6	3	4	5	16	4	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 5 + 1 + 6 + 4 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1									1

The NPI number 1033258421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DREW YURKOV

Counselor

(Mental Health)

136 N SAN MATEO DR
101
SAN MATEO, CA
ZIP 94401

About TRACY CORNER

Location Map

Specialty - Primary Taxonomy

Licensed Psychiatric Technician

Insurance Plans Accepted

Medicare

Medicaid

Additional Identifiers

Reviews for TRACY CORNER

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Tracy Corner's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Tracy Corner accept?