DR. BRANDON FREIBERG HEIMBERG PSYD
NPI 1205364635
Clinical Neuropsychologist in Calabasas, CA

NPI Status: Active since May 30, 2017

Contact Information

5000 PARKWAY CALABASAS STE 218
CALABASAS, CA
ZIP 91302
Phone: (424) 234-1155
Fax: (855) 943-3312

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  • Individual
  • Male
  • Clinical Neuropsychologist
  • Opted-Out Medicare

About BRANDON HEIMBERG

This page provides the complete NPI Profile along with additional information for Brandon Heimberg, a provider established in Calabasas, California with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1205364635 assigned on May 2017. The practitioner's primary taxonomy code is 103G00000X with license number PSY33820 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1205364635
Provider Name
DR. BRANDON FREIBERG HEIMBERG PSYD
Gender
Male
Entity Type
Individual
Location Address
5000 PARKWAY CALABASAS STE 218 CALABASAS, CA 91302
Location Phone
(424) 234-1155
Location Fax
(855) 943-3312
Mailing Address
21300 DUMETZ RD APT G WOODLAND HILLS, CA 91364
Mailing Phone
(646) 687-1004
Mailing Fax
(855) 943-3312
Is Sole Proprietor?
No
Enumeration Date
05-30-2017
Last Update Date
09-30-2024
Code Navigator



The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Brandon Heimberg opted out of Medicare effective on 01-02-2023 until 01-02-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 125 Park Ave Fl 25
    New York, NY 10017
    (424) 234-1155

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.
PSY33820
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

0262737 (NY)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

0262737 (NY)
3103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PSY33820 (CA)

Medicare Participation & PECOS Enrollment Status

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.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-02-2023

  • Opt-Out End Date: 01-02-2027

  • Eligible to Order and Refer? 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 1205364635, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
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 0 → 0 3 → 6 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 6 + 6 + 8 + 6 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1205364635.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinical Neuropsychologist
5000 PARKWAY CALABASAS STE 218
CALABASAS, CA 91302
Behavior Technician
5000 PARKWAY CALABASAS STE 218
CALABASAS, CA 91302
Student in an Organized Health Care Education/Training Program
5000 PARKWAY CALABASAS STE 218
CALABASAS, CA 91302
Behavior Technician
5000 PARKWAY CALABASAS STE 218
CALABASAS, CA 91302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205364635, enumerated as an "individual" on May 30, 2017.

The provider is located at 5000 PARKWAY CALABASAS STE 218 CALABASAS, CA 91302 and the phone number is (424) 234-1155.

Clinical Neuropsychologist with taxonomy code 103G00000X.