PSYCHOLOGICAL DIAGNOSTIC CENTER, LLC
NPI 1184070575
Psychologist - Clinical in Atlanta, GA

NPI Status: Active since May 04, 2016

Contact Information

1827 POWERS FERRY RD SE
BUILDING 22, SUITE 200
ATLANTA, GA
ZIP 30339
Phone: (770) 953-4744
Fax: (770) 953-4640

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  • Organization
  • Psychologist
  • Clinical

About PSYCHOLOGICAL DIAGNOSTIC CENTER, LLC

This page provides the complete NPI Profile along with additional information for Psychological Diagnostic Center, Llc, a provider established in Atlanta, Georgia operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1184070575 assigned on May 2016. The practitioner's primary taxonomy code is 103TC0700X with license number PSY003953 (GA). 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. Willa L Boston Psy.d. (Licensed Psychologist)

NPI
1184070575
Provider Name
PSYCHOLOGICAL DIAGNOSTIC CENTER, LLC
Entity Type
Organization
Location Address
1827 POWERS FERRY RD SE BUILDING 22, SUITE 200 ATLANTA, GA 30339
Location Phone
(770) 953-4744
Location Fax
(770) 953-4640
Mailing Address
1827 POWERS FERRY RD SE BUILDING 22, SUITE 200 ATLANTA, GA 30339
Mailing Phone
(770) 953-4744
Mailing Fax
(770) 953-4640
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2016
Last Update Date
05-04-2016
Code Navigator

A clinical psychologist like Psychological Diagnostic Center, Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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 Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PSY003953
License State
GA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. WILLA L BOSTON PSY.D.

Authorized Official Title
LICENSED PSYCHOLOGIST
Authorized Official Phone
(770) 953-4744

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
202I629735MEDICARE UPIN (02)GA 
003169841AMEDICAID (05)GA 

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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 1184070575, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 8 → 16 → 7 0 → 0 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 0 + 7 + 0 + 5 + 1 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1184070575.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1827 POWERS FERRY RD SE, BLDG. 22, STE. 200,
ATLANTA, GA 30339
Psychologist (Clinical)
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200
ATLANTA, GA 30339
Social Worker (Clinical)
1827 POWERS FERRY RD SE, BLDG 24, SUITE 300
ATLANTA, GA 30339
Psychologist (Clinical)
1827 POWERS FERRY RD SE, BLDG 22 STE 200
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, BLDG 22, STE 200
ATLANTA, GA 30339
Psychologist (Clinical)
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200
ATLANTA, GA 30339
Psychologist (Clinical)
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200
ATLANTA, GA 30339
Psychologist (Clinical)
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, POWERS FERRY PSYCHOLOGICAL ASSOCIATES, BDG.200, STE. 22
ATLANTA, GA 30339
Clinical Neuropsychologist
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, BLDG 22
ATLANTA, GA 30339
Counselor (Professional)
1827 POWERS FERRY RD SE, SUITE 200
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, BUILDING 22, STE 200
ATLANTA, GA 30339
Marriage & Family Therapist
1827 POWERS FERRY RD SE, BUILDING 24, SUITE 300
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, BLDG 22 SUITE 200
ATLANTA, GA 30339
Clinic/Center (Adolescent and Children Mental Health)
1827 POWERS FERRY RD SE, BLDG 1 STE 250
ATLANTA, GA 30339
Clinic/Center
1827 POWERS FERRY RD SE, BUILDING 22
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, BUILDING 22 SUITE 200
ATLANTA, GA 30339
Psychologist
1827 POWERS FERRY RD SE, BUILDING 22
ATLANTA, GA 30339
Psychologist (Clinical Child & Adolescent)
1827 POWERS FERRY RD SE, BUILDING 22, SUITE 200
ATLANTA, GA 30339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184070575, enumerated as an "organization" on May 04, 2016.

The provider is located at 1827 POWERS FERRY RD SE BUILDING 22, SUITE 200 ATLANTA, GA 30339 and the phone number is (770) 953-4744.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.