NAUTILUS BEHAVIORAL HEALTH, PLLC
NPI 1134577901
Psychologist - Clinical Child & Adolescent in Jacksonville, FL

NPI Status: Active since June 01, 2016

Contact Information

12412 SAN JOSE BLVD
SUITE 203
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 432-3321
Fax: (904) 432-3324

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About NAUTILUS BEHAVIORAL HEALTH, PLLC

This page provides the complete NPI Profile along with additional information for Nautilus Behavioral Health, Pllc, a provider established in Jacksonville, Florida operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1134577901 assigned on June 2016. The practitioner's primary taxonomy code is 103TC2200X with license number PY9064 (FL). The provider is registered as an organization and their NPI record was last updated 10 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 Dr. Sarah Dew-reeves Ph.d. (Co-owner/licensed Clinical Psycholo)

NPI
1134577901
Provider Name
NAUTILUS BEHAVIORAL HEALTH, PLLC
Entity Type
Organization
Location Address
12412 SAN JOSE BLVD SUITE 203 JACKSONVILLE, FL 32223
Location Phone
(904) 432-3321
Location Fax
(904) 432-3324
Mailing Address
12412 SAN JOSE BLVD SUITE 203 JACKSONVILLE, FL 32223
Mailing Phone
(904) 432-3321
Mailing Fax
(904) 432-3324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2016
Last Update Date
07-21-2016
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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 Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
PY9064
License State
FL
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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.

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. SARAH DEW-REEVES PH.D.

Authorized Official Title
CO-OWNER/LICENSED CLINICAL PSYCHOLO
Authorized Official Phone
(904) 432-3321

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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 1134577901, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 3 → 6 5 → 10 → 1 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 0 + 7 + 1 + 4 + 9 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1134577901.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Pediatrics
12412 SAN JOSE BLVD, SUITE 104
JACKSONVILLE, FL 32223
Marriage & Family Therapist
12412 SAN JOSE BLVD, SUITE 102C
JACKSONVILLE, FL 32223
Chiropractor
12412 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Chiropractor
12412 SAN JOSE BLVD, 203
JACKSONVILLE, FL 32223
Chiropractor
12412 SAN JOSE BLVD, STE 404
JACKSONVILLE, FL 32223
Psychologist (Clinical Child & Adolescent)
12412 SAN JOSE BLVD, SUITE 203
JACKSONVILLE, FL 32223
Chiropractor
12412 SAN JOSE BLVD, SUITE 404
JACKSONVILLE, FL 32223
Psychologist (Clinical)
12412 SAN JOSE BLVD, SUITE 304A
JACKSONVILLE, FL 32223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134577901, enumerated as an "organization" on June 01, 2016.

The provider is located at 12412 SAN JOSE BLVD SUITE 203 JACKSONVILLE, FL 32223 and the phone number is (904) 432-3321.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.