DR. KATIE JO KERIDAN PSY.D.
NPI 1225349145
Clinical Neuropsychologist in Santa Rosa, CA

NPI Status: Active since June 24, 2010

Contact Information

825 COLLEGE AVE STE 4
SANTA ROSA, CA
ZIP 95404
Phone: (510) 428-3000

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  • Individual
  • Female
  • Clinical Neuropsychologist

About KATIE KERIDAN

This page provides the complete NPI Profile along with additional information for Katie Keridan, a provider established in Santa Rosa, California with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1225349145 assigned on June 2010. The practitioner's primary taxonomy code is 103G00000X with license number PSY29632 (CA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1225349145
Provider Name
DR. KATIE JO KERIDAN PSY.D.
Gender
Female
Entity Type
Individual
Location Address
825 COLLEGE AVE STE 4 SANTA ROSA, CA 95404
Location Phone
(510) 428-3000
Mailing Address
1716 HURLBUT AVE SEBASTOPOL, CA 95472
Mailing Phone
(707) 835-4252
Is Sole Proprietor?
Yes
Enumeration Date
06-24-2010
Last Update Date
09-26-2018
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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.
PSY29632
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 1225349145, 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
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
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 2 → 4 3 → 6 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 6 + 4 + 1 + 8 + 1 + 8 + 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 1225349145.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Clinical)
825 COLLEGE AVE STE 4
SANTA ROSA, CA 95404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225349145, enumerated as an "individual" on June 24, 2010.

The provider is located at 825 COLLEGE AVE STE 4 SANTA ROSA, CA 95404 and the phone number is (510) 428-3000.

Clinical Neuropsychologist with taxonomy code 103G00000X.