JOSHUA WAYNE CLARK
NPI 1053197517
Psychologist - Intellectual and Developmental Disabilities in Phelan, CA

NPI Status: Active since August 31, 2023

Contact Information

4037 STE A 214
PHELAN, CA
ZIP 92371
Phone: (760) 964-0153

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  • Individual
  • Male
  • Psychologist
  • Intellectual and Developmental Disabilit...

About JOSHUA CLARK

This page provides the complete NPI Profile along with additional information for Joshua Clark, a provider established in Phelan, California with a medical specialization in Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1053197517 assigned on August 2023. The practitioner's primary taxonomy code is 103TM1800X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1053197517
Provider Name
JOSHUA WAYNE CLARK
Gender
Male
Entity Type
Individual
Location Address
4037 STE A 214 PHELAN, CA 92371
Location Phone
(760) 964-0153
Mailing Address
4037 STE A 214 PHELAN, CA 92371
Mailing Phone
(760) 964-0153
Is Sole Proprietor?
Yes
Enumeration Date
08-31-2023
Last Update Date
08-31-2023
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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 Intellectual and Developmental Disabilities

Taxonomy Code
103TM1800X
Type
Behavioral Health & Social Service Providers

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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.
1053197517
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103291452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 2 + 9 + 1 + 4 + 5 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1053197517 is valid because the calculated check digit 7 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 1053197517, enumerated as an "individual" on August 31, 2023.

The provider is located at 4037 STE A 214 PHELAN, CA 92371 and the phone number is (760) 964-0153.

Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.