GARY MICHAEL GOLDETSKY
NPI 1124129382
Psychologist - Rehabilitation in Minneapolis, MN
NPI Status: Active since September 26, 2006
Contact Information
515 DELAWARE ST SE
TMD CLINIC
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6529
- Individual
- Male
- Psychologist
- Rehabilitation
- PECOS Enrolled
About GARY GOLDETSKY
This page provides the complete NPI Profile along with additional information for Gary Goldetsky, a provider established in Minneapolis, Minnesota with a medical specialization in Psychologist, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1124129382 assigned on September 2006. The practitioner's primary taxonomy code is 103TR0400X with license number LPO 508 (MN). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1124129382
- Provider Name
- GARY MICHAEL GOLDETSKY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 515 DELAWARE ST SE TMD CLINIC MINNEAPOLIS, MN 55455
- Location Phone
- (612) 626-6529
- Mailing Address
- 515 DELAWARE ST SE TMD CLINIC MINNEAPOLIS, MN 55455
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-26-2006
- Last Update Date
- 08-14-2007
- 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 Rehabilitation
- Taxonomy Code
- 103TR0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPO 508
- License State
- MN
- Taxonomy Description
- A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
Medicare Participation & PECOS Enrollment Status
Gary Goldetsky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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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 1124129382, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. 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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124129382, enumerated as an "individual" on September 26, 2006.
The provider is located at 515 DELAWARE ST SE TMD CLINIC MINNEAPOLIS, MN 55455 and the phone number is (612) 626-6529.
Psychologist with taxonomy code 103TR0400X and a focus in Rehabilitation.
