DEDRICK XAVIER DAVIS
NPI 1063273233
Psychologist - Addiction (Substance Use Disorder) in Hanford, CA

NPI Status: Active since January 16, 2024

Contact Information

2020 N VINE CIR
HANFORD, CA
ZIP 93230
Phone: (559) 670-8789

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  • Individual
  • Male
  • Psychologist
  • Addiction (Substance Use Disorder)

About DEDRICK DAVIS

This page provides the complete NPI Profile along with additional information for Dedrick Davis, a provider established in Hanford, California with a medical specialization in Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1063273233 assigned on January 2024. The practitioner's primary taxonomy code is 103TA0400X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1063273233
Provider Name
DEDRICK XAVIER DAVIS
Gender
Male
Entity Type
Individual
Location Address
2020 N VINE CIR HANFORD, CA 93230
Location Phone
(559) 670-8789
Mailing Address
2020 N VINE CIR HANFORD, CA 93230
Mailing Phone
(559) 670-8789
Is Sole Proprietor?
Yes
Enumeration Date
01-16-2024
Last Update Date
01-16-2024
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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 Addiction (Substance Use Disorder)

Taxonomy Code
103TA0400X
Type
Behavioral Health & Social Service Providers
License State
CA
Taxonomy Description
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

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)
1103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 
2103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

2345634 (CA)

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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 1063273233, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
3
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 3 → 6 3 → 6

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 + 7 + 6 + 2 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1063273233.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063273233, enumerated as an "individual" on January 16, 2024.

The provider is located at 2020 N VINE CIR HANFORD, CA 93230 and the phone number is (559) 670-8789.

Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).