SUPPORT FOR YOUR LIFE
NPI 1255034203
Psychologist - Clinical in Auburn, CA

NPI Status: Active since March 27, 2023

Contact Information

701 HIGH ST STE 227
AUBURN, CA
ZIP 95603
Phone: (530) 500-5885
Fax: (530) 500-4748

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  • Organization
  • Psychologist
  • Clinical

About SUPPORT FOR YOUR LIFE

This page provides the complete NPI Profile along with additional information for Support For Your Life, a provider established in Auburn, California operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1255034203 assigned on March 2023. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Support For Your Life operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kristin Lyn Kaminski-wadle Psyd (Director)

NPI
1255034203
Provider Name
SUPPORT FOR YOUR LIFE
Entity Type
Organization
Location Address
701 HIGH ST STE 227 AUBURN, CA 95603
Location Phone
(530) 500-5885
Location Fax
(530) 500-4748
Mailing Address
701 HIGH ST STE 227 AUBURN, CA 95603
Mailing Phone
(530) 500-5885
Mailing Fax
(530) 500-4748
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2023
Last Update Date
03-27-2023
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A clinical psychologist like Support For Your Life 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.

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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

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
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.

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

 
2103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

 
3103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
4103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
5103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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. KRISTIN LYN KAMINSKI-WADLE PSYD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(530) 500-5885

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
1245779552OTHER (01)NPI

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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 1255034203, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 5 → 10 → 1 0 → 0 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 0 + 3 + 8 + 2 + 0 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255034203.

Other Providers at the Same Location


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

Psychologist (Clinical)
701 HIGH ST STE 227
AUBURN, CA 95603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255034203, enumerated as an "organization" on March 27, 2023.

The provider is located at 701 HIGH ST STE 227 AUBURN, CA 95603 and the phone number is (530) 500-5885.

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.