K.A. JACOBSON, PH.D., PLLC
NPI 1154363414
Clinic/Center - Mental Health (Including Community Mental Health Center) in Golden Valley, MN

NPI Status: Active since June 12, 2006

Contact Information

5101 OLSON MEMORIAL HWY
SUITE 4003
GOLDEN VALLEY, MN
ZIP 55422
Phone: (763) 595-7294
Fax: (763) 595-7293

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About K.A. JACOBSON, PH.D., PLLC

This page provides the complete NPI Profile along with additional information for K.a. Jacobson, Ph.d., Pllc, a provider established in Golden Valley, Minnesota operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1154363414 assigned on June 2006. The practitioner's primary taxonomy code is 261QM0801X with license number LP0158 (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Kathleen A. Jacobson Ph.d. (Clinical Psychologist)

NPI
1154363414
Provider Name
K.A. JACOBSON, PH.D., PLLC
Entity Type
Organization
Location Address
5101 OLSON MEMORIAL HWY SUITE 4003 GOLDEN VALLEY, MN 55422
Location Phone
(763) 595-7294
Location Fax
(763) 595-7293
Mailing Address
5101 OLSON MEMORIAL HWY SUITE 4003 GOLDEN VALLEY, MN 55422
Mailing Phone
(763) 595-7294
Mailing Fax
(763) 595-7293
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2006
Last Update Date
08-22-2020
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
LP0158
License State
MN

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. KATHLEEN A. JACOBSON PH.D.

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(763) 595-7294

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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 1154363414, 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 5 → 10 → 1 3 → 6 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 6 + 6 + 6 + 4 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1154363414.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, SUITE 4004
GOLDEN VALLEY, MN 55422
Psychologist (Health Service)
5101 OLSON MEMORIAL HWY, SUITE 4002
GOLDEN VALLEY, MN 55422
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, SUITE 4004
GOLDEN VALLEY, MN 55422
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, SUITE 4006
GOLDEN VALLEY, MN 55422
Psychologist (Counseling)
5101 OLSON MEMORIAL HWY, SUITE 4006
GOLDEN VALLEY, MN 55422
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, SUITE 4002
GOLDEN VALLEY, MN 55422
Clinic/Center (Mental Health (Including Community Mental Health Center))
5101 OLSON MEMORIAL HWY, SUITE 4005
GOLDEN VALLEY, MN 55422
Psychologist (Clinical)
5101 OLSON MEMORIAL HWY, STE 4009
GOLDEN VALLEY, MN 55422
Psychologist
5101 OLSON MEMORIAL HWY, #4001
GOLDEN VALLEY, MN 55422

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154363414, enumerated as an "organization" on June 12, 2006.

The provider is located at 5101 OLSON MEMORIAL HWY SUITE 4003 GOLDEN VALLEY, MN 55422 and the phone number is (763) 595-7294.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).