NEUROPSYCHOLOGYCA
NPI 1093156630
Clinical Neuropsychologist in Beverly Hills, CA

NPI Status: Active since July 11, 2013

Contact Information

9663 SANTA MONICA BLVD # 1058
BEVERLY HILLS, CA
ZIP 90210
Phone: (424) 245-5524

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  • Organization
  • Clinical Neuropsychologist

About NEUROPSYCHOLOGYCA

This page provides the complete NPI Profile along with additional information for Neuropsychologyca, a provider established in Beverly Hills, California operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1093156630 assigned on July 2013. The practitioner's primary taxonomy code is 103G00000X with license number 25773 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. Neuropsychologyca operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Alexandrea Park Psy.d. (Executive)

NPI
1093156630
Provider Name
NEUROPSYCHOLOGYCA
Entity Type
Organization
Location Address
9663 SANTA MONICA BLVD # 1058 BEVERLY HILLS, CA 90210
Location Phone
(424) 245-5524
Mailing Address
9663 SANTA MONICA BLVD # 1058 BEVERLY HILLS, CA 90210
Mailing Phone
(424) 245-5524
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2013
Last Update Date
01-23-2024
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
25773
License State
CA
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.

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)
1103TH0004XBehavioral Health & Social Service Providers

Psychologist
Health

25773 (CA)

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

DR. ALEXANDREA PARK PSY.D.

Authorized Official Title
EXECUTIVE
Authorized Official Phone
(424) 245-5524

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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.
1093156630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183251266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 2 + 5 + 1 + 2 + 6 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1093156630 is valid because the calculated check digit 0 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 1093156630, enumerated as an "organization" on July 11, 2013.

The provider is located at 9663 SANTA MONICA BLVD # 1058 BEVERLY HILLS, CA 90210 and the phone number is (424) 245-5524.

Clinical Neuropsychologist with taxonomy code 103G00000X.