STANFORD HOSPITAL AND CLINICS
NPI 1295863405
Psychologist in Stanford, CA

NPI Status: Active since March 01, 2007

Contact Information

300 PASTEUR DRIVE
RM A343
STANFORD, CA
ZIP 94305
Phone: (650) 498-7875
Fax: (650) 498-7868

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  • Organization
  • Psychologist

About STANFORD HOSPITAL AND CLINICS

This page provides the complete NPI Profile along with additional information for Stanford Hospital And Clinics, a provider established in Stanford, California operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1295863405 assigned on March 2007. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mark Burdelle (Neurodiagnostic Lab Manager)

NPI
1295863405
Provider Name
STANFORD HOSPITAL AND CLINICS
Entity Type
Organization
Location Address
300 PASTEUR DRIVE RM A343 STANFORD, CA 94305
Location Phone
(650) 498-7875
Location Fax
(650) 498-7868
Mailing Address
300 PASTEUR DRIVE RM A343 STANFORD, CA 94305
Mailing Phone
(650) 498-7875
Mailing Fax
(650) 498-7868
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2007
Last Update Date
09-11-2025
Code Navigator

A psychologist like Stanford Hospital And Clinics studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating 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

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MARK BURDELLE

Authorized Official Title
NEURODIAGNOSTIC LAB MANAGER
Authorized Official Phone
(650) 723-0244

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
PSY124930MEDICAID (05)CA 

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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 1295863405, 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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 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 9 → 18 → 9 8 → 16 → 7 3 → 6 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 + 8 + 5 + 1 + 6 + 6 + 6 + 4 + 0 + 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 1295863405.

Other Providers at the Same Location


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

Internal Medicine
300 PASTEUR DRIVE
STANFORD, CA 94305
Surgery
300 PASTEUR DRIVE, H3680
STANFORD, CA 94305
Internal Medicine
300 PASTEUR DRIVE, H2152 CARDIOLOGY
STANFORD, CA 94305
Anesthesiology (Pain Medicine)
300 PASTEUR DRIVE, STANFORD UNIVERSITY DEPT OF ANESTHESIA
STANFORD, CA 94305
Internal Medicine (Cardiovascular Disease)
300 PASTEUR DRIVE, FALK CVRC 295
STANFORD, CA 94305
Anesthesiology
300 PASTEUR DRIVE, H3580 MC 5640
STANFORD, CA 94305
Internal Medicine (Cardiovascular Disease)
300 PASTEUR DRIVE, FALK CVRC
STANFORD, CA 94305
Pediatrics (Pediatric Rheumatology)
300 PASTEUR DRIVE, BOSWELL BUILDING, ROOM A085
STANFORD, CA 94305
Clinical Pharmacology
300 PASTEUR DRIVE
STANFORD, CA 94305
Occupational Therapist
300 PASTEUR DRIVE, STANFORD UNIVERSITY MEDICAL CENTER
STANFORD, CA 94305
Internal Medicine
300 PASTEUR DRIVE, S101
STANFORD, CA 94305
Speech-Language Pathologist
300 PASTEUR DRIVE
STANFORD, CA 94305
Physical Therapist
300 PASTEUR DRIVE
STANFORD, CA 94305
Speech-Language Pathologist
300 PASTEUR DRIVE, REHABILITATION DEPT H3124
PALO ALTO, CA 94305
Occupational Therapist
300 PASTEUR DRIVE
PALO ALTO, CA 94305
Orthopaedic Surgery
300 PASTEUR DRIVE, STANFORD ORTHOPAEDIC SURGERY RM R144
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DRIVE, RM HH333
STANFORD, CA 94305
Nuclear Medicine
300 PASTEUR DRIVE, DEP. OF NUCLEAR MEDICINE, STANFORD UNIVERSITY HOSPITAL
PALO ALTO, CA 94305
Nurse Practitioner (Adult Health)
300 PASTEUR DRIVE, A160 MC 5313 STANFORD HOSPITAL & CLINICS
STANFORD, CA 94305
Nurse Practitioner (Acute Care)
300 PASTEUR DRIVE, ROOM H2102
STANFORD, CA 94305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295863405, enumerated as an "organization" on March 01, 2007.

The provider is located at 300 PASTEUR DRIVE RM A343 STANFORD, CA 94305 and the phone number is (650) 498-7875.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.