GENESIS MEDICAL PRACTICE MANAGEMENT
NPI 1053657361
Psychologist in Phoenix, AZ

NPI Status: Active since December 14, 2012

Contact Information

4620 N 16TH ST
E-110
PHOENIX, AZ
ZIP 85016
Phone: (602) 264-2770
Fax: (866) 534-1701

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  • Organization
  • Psychologist

About GENESIS MEDICAL PRACTICE MANAGEMENT

This page provides the complete NPI Profile along with additional information for Genesis Medical Practice Management, a provider established in Phoenix, Arizona operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1053657361 assigned on December 2012. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Daryl C. Millar (Ceo)

NPI
1053657361
Provider Name
GENESIS MEDICAL PRACTICE MANAGEMENT
Entity Type
Organization
Location Address
4620 N 16TH ST E-110 PHOENIX, AZ 85016
Location Phone
(602) 264-2770
Location Fax
(866) 534-1701
Mailing Address
4620 N 16TH ST E-110 PHOENIX, AZ 85016
Mailing Phone
(602) 264-2770
Mailing Fax
(866) 534-1701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2012
Last Update Date
12-14-2012
Code Navigator

A psychologist like Genesis Medical Practice Management studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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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

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193400000X 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.

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. DARYL C. MILLAR

Authorized Official Title
CEO
Authorized Official Phone
(602) 264-2770

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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 1053657361, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 6 → 12 → 3 7 → 14 → 5 6 → 12 → 3

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 + 2 + 5 + 1 + 4 + 3 + 1 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053657361.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Social Worker
4620 N 16TH ST, E110
PHOENIX, AZ 85016
Community/Behavioral Health
4620 N 16TH ST, A-101
PHOENIX, AZ 85016
Social Worker (Clinical)
4620 N 16TH ST, SUITE #E-110
PHOENIX, AZ 85016
Durable Medical Equipment & Medical Supplies
4620 N 16TH ST, B-209
PHOENIX, AZ 85016
Nurse Practitioner (Psychiatric/Mental Health)
4620 N 16TH ST, SUITE #E-110
PHOENIX, AZ 85016
Counselor
4620 N 16TH ST, SUITE E-110
PHOENIX, AZ 85016
Community/Behavioral Health
4620 N 16TH ST, E-110
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053657361, enumerated as an "organization" on December 14, 2012.

The provider is located at 4620 N 16TH ST E-110 PHOENIX, AZ 85016 and the phone number is (602) 264-2770.

Psychologist with taxonomy code 103T00000X.