AMY HOLSTEN PH.D.
NPI 1053665356
Psychologist - Clinical Child & Adolescent in Martinez, GA

NPI Status: Active since November 08, 2012

Contact Information

3711 EXECUTIVE CENTER DR
SUITE 101
MARTINEZ, GA
ZIP 30907
Phone: (706) 210-8855
Fax: (678) 541-7699

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  • Individual
  • Female
  • Psychologist
  • Clinical Child & Adolescent
  • PECOS Enrolled

About AMY HOLSTEN

This page provides the complete NPI Profile along with additional information for Amy Holsten, a provider established in Martinez, Georgia with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1053665356 assigned on November 2012. The practitioner's primary taxonomy code is 103TC2200X with license number PSY003677 (GA). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1053665356
Provider Name
AMY HOLSTEN PH.D.
Gender
Female
Entity Type
Individual
Location Address
3711 EXECUTIVE CENTER DR SUITE 101 MARTINEZ, GA 30907
Location Phone
(706) 210-8855
Location Fax
(678) 541-7699
Mailing Address
3711 EXECUTIVE CENTER DR SUITE 101 MARTINEZ, GA 30907
Mailing Phone
(706) 210-8855
Mailing Fax
(678) 541-7699
Is Sole Proprietor?
No
Enumeration Date
11-08-2012
Last Update Date
06-24-2013
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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.
PSY003677
License State
GA
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.

Medicare Participation & PECOS Enrollment Status

Amy Holsten is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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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 1053665356, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 5 → 10 → 1 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 + 2 + 6 + 1 + 0 + 3 + 1 + 0 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053665356.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Psychologist (Clinical Child & Adolescent)
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Psychologist (Clinical)
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Psychologist (Clinical Child & Adolescent)
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Social Worker
3711 EXECUTIVE CENTER DR, SUITE 201
MARTINEZ, GA 30907
Counselor (Professional)
3711 EXECUTIVE CENTER DR, SUITE 202 OFFICE #3
MARTINEZ, GA 30907
Social Worker (Clinical)
3711 EXECUTIVE CENTER DR, SUITE 202 OFFICE 1
MARTINEZ, GA 30907
Counselor (Professional)
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Counselor (Mental Health)
3711 EXECUTIVE CENTER DR, STE 202 #6
MARTINEZ, GA 30907
Social Worker
3711 EXECUTIVE CENTER DR, SUITE 201
MARTINEZ, GA 30907
Social Worker
3711 EXECUTIVE CENTER DR, SUITE 201
MARTINEZ, GA 30907
Social Worker (Clinical)
3711 EXECUTIVE CENTER DR, SUITE 201
AUGUSTA, GA 30907
Community/Behavioral Health
3711 EXECUTIVE CENTER DR
MARTINEZ, GA 30907
Community/Behavioral Health
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Community/Behavioral Health
3711 EXECUTIVE CENTER DR
MARTINEZ, GA 30907
Counselor (Professional)
3711 EXECUTIVE CENTER DR
AUGUSTA, GA 30907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053665356, enumerated as an "individual" on November 08, 2012.

The provider is located at 3711 EXECUTIVE CENTER DR SUITE 101 MARTINEZ, GA 30907 and the phone number is (706) 210-8855.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.