MATTHEW CLEM PHD
NPI 1225560055
Clinical Neuropsychologist in Dallas, TX

NPI Status: Active since March 30, 2017

Contact Information

6363 FOREST PARK RD
DALLAS, TX
ZIP 75235
Phone: (214) 648-4316

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  • Individual
  • Male
  • Clinical Neuropsychologist
  • PECOS Enrolled

About MATTHEW CLEM

This page provides the complete NPI Profile along with additional information for Matthew Clem, a provider established in Dallas, Texas with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1225560055 assigned on March 2017. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1225560055
Provider Name
MATTHEW CLEM PHD
Gender
Male
Entity Type
Individual
Location Address
6363 FOREST PARK RD DALLAS, TX 75235
Location Phone
(214) 648-4316
Mailing Address
11882 GREENVILLE AVE STE 107 DALLAS, TX 75243
Mailing Phone
(972) 644-8686
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
03-30-2017
Last Update Date
09-05-2019
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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
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.

Medicare Participation & PECOS Enrollment Status

Matthew Clem is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

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.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: 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 1225560055, 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 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
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 5 → 10 → 1 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 1 + 0 + 6 + 0 + 0 + 1 + 0 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1225560055.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
6363 FOREST PARK RD, SUITE B-215
DALLAS, TX 75235
Clinic/Center (Occupational Medicine)
6363 FOREST PARK RD, SUITE 810
DALLAS, TX 75235
Genetic Counselor, MS
6363 FOREST PARK RD, SUITE BLB 306
DALLAS, TX 75235
Psychologist
6363 FOREST PARK RD
DALLAS, TX 75235
Clinic/Center (Multi-Specialty)
6363 FOREST PARK RD, SUITE # 810
DALLAS, TX 75235

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225560055, enumerated as an "individual" on March 30, 2017.

The provider is located at 6363 FOREST PARK RD DALLAS, TX 75235 and the phone number is (214) 648-4316.

Clinical Neuropsychologist with taxonomy code 103G00000X.