ANTON PETRENKO PHD
NPI 1053689786
Psychologist - Clinical in Orange, CA

NPI Status: Active since December 08, 2011

Contact Information

1201 W LA VETA AVE
ORANGE, CA
ZIP 92868
Phone: (714) 509-3792
Fax: (855) 246-2329

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  • Individual
  • Male
  • Psychologist
  • Clinical

About ANTON PETRENKO

This page provides the complete NPI Profile along with additional information for Anton Petrenko, a provider established in Orange, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1053689786 assigned on December 2011. The practitioner's primary taxonomy code is 103TC0700X with license number PSY33579 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1053689786
Provider Name
ANTON PETRENKO PHD
Gender
Male
Entity Type
Individual
Location Address
1201 W LA VETA AVE ORANGE, CA 92868
Location Phone
(714) 509-3792
Location Fax
(855) 246-2329
Mailing Address
1201 W LA VETA AVE ORANGE, CA 92868
Mailing Phone
(714) 509-3792
Mailing Fax
(855) 246-2329
Is Sole Proprietor?
Yes
Enumeration Date
12-08-2011
Last Update Date
12-28-2022
Code Navigator

A clinical psychologist like Anton Petrenko assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY33579
License State
CA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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)
1106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

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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 1053689786, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 9 → 18 → 9 8 → 16 → 7

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 + 8 + 1 + 8 + 7 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053689786.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
1201 W LA VETA AVE, STE. 102
ORANGE, CA 92868
Optometrist
1201 W LA VETA AVE, STE 406
ORANGE, CA 92868
Internal Medicine (Gastroenterology)
1201 W LA VETA AVE, SUITE 211
ORANGE, CA 92868
Allergy & Immunology
1201 W LA VETA AVE, STE 501
ORANGE, CA 92868
Nurse Practitioner
1201 W LA VETA AVE, STE 501
ORANGE, CA 92868
Pathology (Anatomic Pathology & Clinical Pathology)
1201 W LA VETA AVE, SUITE 608
ORANGE, CA 92868
Otolaryngology
1201 W LA VETA AVE, SUITE 604
ORANGE, CA 92868
Ophthalmology
1201 W LA VETA AVE, 300
ORANGE, CA 92868
Dentist (General Practice)
1201 W LA VETA AVE, 301
ORANGE, CA 92868
Surgery (Pediatric Surgery)
1201 W LA VETA AVE
ORANGE, CA 92868
Clinical Neuropsychologist
1201 W LA VETA AVE, SUITE 503
ORANGE, CA 92868
Physical Therapy Assistant
1201 W LA VETA AVE
ORANGE, CA 92868
Allergy & Immunology (Allergy)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Endocrinology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Hematology-Oncology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Critical Care Medicine)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Rheumatology)
1201 W LA VETA AVE
ORANGE, CA 92868
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Infectious Diseases)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Pulmonology)
1201 W LA VETA AVE
ORANGE, CA 92868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053689786, enumerated as an "individual" on December 08, 2011.

The provider is located at 1201 W LA VETA AVE ORANGE, CA 92868 and the phone number is (714) 509-3792.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.