DR. DALE CORDES PROVOST PH.D.
NPI 1225134919
Clinical Neuropsychologist in Little Rock, AR

NPI Status: Active since September 16, 2006

Contact Information

4300 W 7TH ST
116T/LR
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 257-6598
Fax: (501) 257-6602

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  • Individual
  • Female
  • Clinical Neuropsychologist

About DALE PROVOST

This page provides the complete NPI Profile along with additional information for Dale Provost, a provider established in Little Rock, Arkansas with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1225134919 assigned on September 2006. The practitioner's primary taxonomy code is 103G00000X with license number 84-11P (AR). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1225134919
Provider Name
DR. DALE CORDES PROVOST PH.D.
Other Name
DR. DALE S. CORDES PH.D.
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
4300 W 7TH ST 116T/LR LITTLE ROCK, AR 72205
Location Phone
(501) 257-6598
Location Fax
(501) 257-6602
Mailing Address
17 SUMMERLAND CT LITTLE ROCK, AR 72227
Mailing Phone
(501) 225-5037
Mailing Fax
(501) 257-6602
Is Sole Proprietor?
No
Enumeration Date
09-16-2006
Last Update Date
09-11-2025
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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.
84-11P
License State
AR
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)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

84-11P (AR)

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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 1225134919, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 2 + 3 + 8 + 9 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1225134919.

Other Providers at the Same Location


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

Nurse Practitioner (Acute Care)
4300 W 7TH ST, CENTRAL AR VETERANS HEALTHCARE SYSTEM
LITTLE ROCK, AR 72205
Nurse Practitioner (Adult Health)
4300 W 7TH ST
LITTLE ROCK, AR 72205
Clinical Nurse Specialist (Medical-Surgical)
4300 W 7TH ST, SUITE 05H/LR
LITTLE ROCK, AR 72205
Nurse Practitioner (Family)
4300 W 7TH ST, 112 LR
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
4300 W 7TH ST
LITTLE ROCK, AR 72205
Clinical Nurse Specialist
4300 W 7TH ST
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
4300 W 7TH ST
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
4300 W 7TH ST, CAVHS ANESTHESIA DEPT
LITTLE ROCK, AR 72205
Nurse Practitioner (Adult Health)
4300 W 7TH ST, 111J/LR
LITTLE ROCK, AR 72205
Nurse Practitioner (Gerontology)
4300 W 7TH ST, HOME HEALTH CARE SERVICE 11HC/LR
LITTLE ROCK, AR 72205
Internal Medicine
4300 W 7TH ST
LITTLE ROCK, AR 72205
Clinical Nurse Specialist (Medical-Surgical)
4300 W 7TH ST
LITTLE ROCK, AR 72205
Nurse Practitioner (Gerontology)
4300 W 7TH ST, (11HC/LR)
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
4300 W 7TH ST, 112EY/LR
LITTLE ROCK, AR 72205
Dietitian, Registered
4300 W 7TH ST, 142A/LR
LITTLE ROCK, AR 72205
Dietitian, Registered
4300 W 7TH ST, 120/LR
LITTLE ROCK, AR 72205
Nurse Practitioner (Acute Care)
4300 W 7TH ST
LITTLE ROCK, AR 72205
Nurse Practitioner (Adult Health)
4300 W 7TH ST
LITTLE ROCK, AR 72205
Family Medicine
4300 W 7TH ST, SLOT 11C LR
LITTLE ROCK, AR 72205
Obstetrics & Gynecology
4300 W 7TH ST
LITTLE ROCK, AR 72205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225134919, enumerated as an "individual" on September 16, 2006.

The provider is located at 4300 W 7TH ST 116T/LR LITTLE ROCK, AR 72205 and the phone number is (501) 257-6598.

Clinical Neuropsychologist with taxonomy code 103G00000X.