KENNEDY KRIEGER INSTITUTE
NPI 1053572958
Psychologist - Clinical Child & Adolescent in Baltimore, MD

NPI Status: Active since June 23, 2008

Contact Information

707 N. BROADWAY
BALTIMORE, MD
ZIP 21205
Phone: (443) 923-9200
Fax: (443) 923-9405

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About KENNEDY KRIEGER INSTITUTE

This page provides the complete NPI Profile along with additional information for Kennedy Krieger Institute, a provider established in Baltimore, Maryland operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1053572958 assigned on June 2008. The practitioner's primary taxonomy code is 103TC2200X with license number 30036 (MD). The provider is registered as an organization and their NPI record was last updated 6 years ago. Kennedy Krieger Institute operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Kennedy Krieger Institute. The authorized official of this NPI record is Mr. Mike Neuman (Vice President Finance)

NPI
1053572958
Provider Legal Name
KENNEDY KRIEGER ASSOCIATES, INC.
Other Organization Name
KENNEDY KRIEGER INSTITUTE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
707 N. BROADWAY BALTIMORE, MD 21205
Location Phone
(443) 923-9200
Location Fax
(443) 923-9405
Mailing Address
P.O. BOX 744865 ATLANTA, GA 30374
Mailing Phone
(443) 923-1886
Mailing Fax
(443) 923-9405
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-23-2008
Last Update Date
09-16-2020
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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.
30036
License State
MD
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.

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

MR. MIKE NEUMAN

Authorized Official Title
VICE PRESIDENT FINANCE
Authorized Official Phone
(443) 923-1810

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
414602600MEDICAID (05)MD 

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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 1053572958, 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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 5 → 10 → 1 5 → 10 → 1 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 0 + 7 + 4 + 9 + 1 + 0 + 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 1053572958.

Other Providers at the Same Location


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

Psychiatry & Neurology (Neurology)
707 N. BROADWAY
BALTIMORE, MD 21205
Speech-Language Pathologist
707 N. BROADWAY
BALTIMORE, MD 21205
Physical Therapist
707 N. BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Psychiatry)
707 N. BROADWAY
BALTIMORE, MD 21205
Speech-Language Pathologist
707 N. BROADWAY
BALTIMORE, MD 21205
Durable Medical Equipment & Medical Supplies (Customized Equipment)
707 N. BROADWAY
BALTIMORE, MD 21205
Rehabilitation Hospital (Children)
707 N. BROADWAY
BALTIMORE, MD 21205
Pediatrics
707 N. BROADWAY
BALTIMORE, MD 21205
Student in an Organized Health Care Education/Training Program
707 N. BROADWAY
BALTIMORE, MD 21205
Social Worker
707 N. BROADWAY
BALTIMORE, MD 21205
Psychologist
707 N. BROADWAY
BALTIMORE, MD 21205
Dietitian, Registered
707 N. BROADWAY
BALTIMORE, MD 21205
Social Worker
707 N. BROADWAY
BALTIMORE, MD 21205
Occupational Therapist
707 N. BROADWAY
BALTIMORE, MD 21205
Psychologist (Clinical)
707 N. BROADWAY
BALTIMORE, MD 21205
Speech-Language Pathologist
707 N. BROADWAY
BALTIMORE, MD 21205
Occupational Therapist (Pediatrics)
707 N. BROADWAY
BALTIMORE, MD 21205
Speech-Language Pathologist
707 N. BROADWAY
BALTIMORE, MD 21205
Social Worker
707 N. BROADWAY
BALTIMORE, MD 21205
Counselor
707 N. BROADWAY
BALTIMORE, MD 21205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053572958, enumerated as an "organization" on June 23, 2008.

The provider is located at 707 N. BROADWAY BALTIMORE, MD 21205 and the phone number is (443) 923-9200.

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.