COASTLINE NEUROPSYCHIATRIC
NPI 1043996986
Clinical Neuropsychologist in Pensacola, FL
NPI Status: Active since June 26, 2023
Contact Information
890 S PALAFOX ST SUITE 300-L
PENSACOLA, FL
ZIP 32502
Phone: (850) 341-4896
Fax: (850) 433-1996
- Organization
- Clinical Neuropsychologist
About COASTLINE NEUROPSYCHIATRIC
This page provides the complete NPI Profile along with additional information for Coastline Neuropsychiatric, a provider established in Pensacola, Florida operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1043996986 assigned on June 2023. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kevin Neil Groom Ph.d. (Owner)
- NPI
- 1043996986
- Provider Name
- COASTLINE NEUROPSYCHIATRIC
- Entity Type
- Organization
- Location Address
- 890 S PALAFOX ST SUITE 300-L PENSACOLA, FL 32502
- Location Phone
- (850) 341-4896
- Location Fax
- (850) 433-1996
- Mailing Address
- 304 W GADSDEN ST PENSACOLA, FL 32501
- Mailing Phone
- (850) 341-4896
- Mailing Fax
- (850) 433-1996
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2023
- Last Update Date
- 10-06-2023
- 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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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 | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
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.
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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. | |||||||||
| 1 | 0 | 4 | 3 | 9 | 9 | 6 | 9 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 18 | 9 | 12 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 8 + 9 + 1 + 2 + 9 + 1 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1043996986 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043996986, enumerated as an "organization" on June 26, 2023.
The provider is located at 890 S PALAFOX ST SUITE 300-L PENSACOLA, FL 32502 and the phone number is (850) 341-4896.
Clinical Neuropsychologist with taxonomy code 103G00000X.
