SQUARE ONE LLC
NPI 1063202794
Pediatrics - Developmental - Behavioral Pediatrics in Louisville, KY

NPI Status: Active since May 07, 2025

Contact Information

6440 DUTCHMANS PKWY FL 2
LOUISVILLE, KY
ZIP 40205
Phone: (502) 896-2606
Fax: (502) 896-0487

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  • Organization
  • Pediatrics
  • Developmental - Behavioral Pediatrics

About SQUARE ONE LLC

This page provides the complete NPI Profile along with additional information for Square One Llc, a pediatrician established in Louisville, Kentucky operating as a Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1063202794 assigned on May 2025. The practitioner's primary taxonomy code is 2080P0006X. The provider is registered as an organization and their NPI record was last updated one year ago. Square One Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Cassidy Niehaus (Office Manager)

NPI
1063202794
Provider Name
SQUARE ONE LLC
Entity Type
Organization
Location Address
6440 DUTCHMANS PKWY FL 2 LOUISVILLE, KY 40205
Location Phone
(502) 896-2606
Location Fax
(502) 896-0487
Mailing Address
6440 DUTCHMANS PKWY FL 2 LOUISVILLE, KY 40205
Mailing Phone
(502) 896-2606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2025
Last Update Date
05-07-2025
Code Navigator

A pediatrician like Square One Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

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)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

 
2103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 

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.

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

CASSIDY NIEHAUS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(502) 896-2606

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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 1063202794, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 6 → 12 → 3 2 → 4 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 4 + 0 + 4 + 7 + 1 + 8 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1063202794.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063202794, enumerated as an "organization" on May 07, 2025.

The provider is located at 6440 DUTCHMANS PKWY FL 2 LOUISVILLE, KY 40205 and the phone number is (502) 896-2606.

Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.