WELLSTAR NEUROPSYCHOLOGY, LLC
NPI 1083880744
Clinical Neuropsychologist in Marietta, GA
NPI Status: Active since May 02, 2008
Contact Information
677 CHURCH ST NE
MARIETTA, GA
ZIP 30060
Phone: (770) 793-6695
Fax: (770) 793-7997
- Organization
- Clinical Neuropsychologist
- CLIA Number: 11D2098908
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-16-2028
About WELLSTAR NEUROPSYCHOLOGY, LLC
This page provides the complete NPI Profile along with additional information for Wellstar Neuropsychology, Llc, a provider established in Marietta, Georgia operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1083880744 assigned on May 2008. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Nicole Ashe (Executive Director Of Finance)
- NPI
- 1083880744
- Provider Name
- WELLSTAR NEUROPSYCHOLOGY, LLC
- Entity Type
- Organization
- Location Address
- 677 CHURCH ST NE MARIETTA, GA 30060
- Location Phone
- (770) 793-6695
- Location Fax
- (770) 793-7997
- Mailing Address
- 677 CHURCH ST NE MARIETTA, GA 30060
- Mailing Phone
- (770) 793-6695
- Mailing Fax
- (770) 793-7997
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2008
- Last Update Date
- 02-24-2020
- 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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2098908
- Facility Type
- Physician Office
- Certificate Effective Date
- January 17, 2026
- Certificate Expiration Date
- January 16, 2028
- Laboratory Director
- SALLY HUBER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellstar Neuropsychology, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1083880744, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083880744, enumerated as an "organization" on May 02, 2008.
The provider is located at 677 CHURCH ST NE MARIETTA, GA 30060 and the phone number is (770) 793-6695.
Clinical Neuropsychologist with taxonomy code 103G00000X.
