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
- 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
- Code Navigator
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 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) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | 2345634 (CA) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 2 | 7 | 3 | 2 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 4 | 7 | 6 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 4 + 7 + 6 + 2 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1063273233 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
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).
