DR. JACOB PANQUALE PANZARELLA PH.D.
NPI 1164738464
Clinical Neuropsychologist in San Rafael, CA

NPI Status: Active since August 24, 2010

Contact Information

4040 CIVIC CENTER DR
SUITE 200
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 381-0300
Fax: (415) 898-4361

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  • Individual
  • Male
  • Clinical Neuropsychologist

About JACOB PANZARELLA

This page provides the complete NPI Profile along with additional information for Jacob Panzarella, a provider established in San Rafael, California with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1164738464 assigned on August 2010. The practitioner's primary taxonomy code is 103G00000X with license number PSY3581 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1164738464
Provider Name
DR. JACOB PANQUALE PANZARELLA PH.D.
Gender
Male
Entity Type
Individual
Location Address
4040 CIVIC CENTER DR SUITE 200 SAN RAFAEL, CA 94903
Location Phone
(415) 381-0300
Location Fax
(415) 898-4361
Mailing Address
775 E BLITHEDALE AVE BOX 402 MILL VALLEY, CA 94941
Mailing Phone
(415) 381-0300
Mailing Fax
(415) 898-4361
Is Sole Proprietor?
Yes
Enumeration Date
08-24-2010
Last Update Date
08-24-2010
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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.
PSY3581
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.

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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 1164738464, 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 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 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 4 + 3 + 1 + 6 + 4 + 1 + 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 1164738464.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4040 CIVIC CENTER DR, SUITE 200
SAN RAFAEL, CA 94903
Internal Medicine
4040 CIVIC CENTER DR
SAN RAFAEL, CA 94903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164738464, enumerated as an "individual" on August 24, 2010.

The provider is located at 4040 CIVIC CENTER DR SUITE 200 SAN RAFAEL, CA 94903 and the phone number is (415) 381-0300.

Clinical Neuropsychologist with taxonomy code 103G00000X.