LIC MARRIAGE &
NPI 1346457157
Psychologist - Clinical in Bakersfield, CA

NPI Status: Active since May 17, 2007

Contact Information

4900 CALIFORNIA AVE
330-B
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 326-8167
Fax: (661) 326-8221

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  • Organization
  • Psychologist
  • Clinical

About LIC MARRIAGE &

This page provides the complete NPI Profile along with additional information for Lic Marriage &, a provider established in Bakersfield, California operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1346457157 assigned on May 2007. The practitioner's primary taxonomy code is 103TC0700X with license number PSY 8536 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Lic Marriage & operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lic Marriage &. The authorized official of this NPI record is Dr. Mccoy Dean Haddock Psy.d. (Ceo)

NPI
1346457157
Provider Legal Name
COMMUNITY COUNSELING SERVICES CHILD COUNSELOR A PROF CORP DEAN HADDOCK
Other Organization Name
LIC MARRIAGE &
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4900 CALIFORNIA AVE 330-B BAKERSFIELD, CA 93309
Location Phone
(661) 326-8167
Location Fax
(661) 326-8221
Mailing Address
PO BOX 82096 BAKERSFIELD, CA 93380
Mailing Phone
(661) 326-8167
Mailing Fax
(661) 326-8221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
04-03-2014
Code Navigator

A clinical psychologist like Lic Marriage & 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
License No.
PSY 8536
License State
CA
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)
1103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

PSY 8536 (CA)
2103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

PSY 8536 (CA)
3103TF0200XBehavioral Health & Social Service Providers

Psychologist
Forensic

PSY 8536 (CA)
4103TH0100XBehavioral Health & Social Service Providers

Psychologist
Health Service

PSY 8536 (CA)
5103TM1800XBehavioral Health & Social Service Providers

Psychologist
Intellectual and Developmental Disabilities

PSY 8536 (CA)
6103TP0016XBehavioral Health & Social Service Providers

Psychologist
Prescribing (Medical)

PSY 8536 (CA)
7103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

PSY 8536 (CA)
8106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

MI 13954 (CA)

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. MCCOY DEAN HADDOCK PSY.D.

Authorized Official Title
CEO
Authorized Official Phone
(661) 326-8167

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
PSY8536MEDICARE ID-TYPE UNSPECIFIED (04)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 1346457157, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 4 → 8 4 → 8 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 8 + 5 + 1 + 4 + 1 + 1 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1346457157.

Other Providers at the Same Location


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

Marriage & Family Therapist
4900 CALIFORNIA AVE, TOWER B-210
BAKERSFIELD, CA 93309
Clinic/Center (Mental Health (Including Community Mental Health Center))
4900 CALIFORNIA AVE, TOWERA SUITE 200
BAKERSFIELD, CA 93309
Social Worker (Clinical)
4900 CALIFORNIA AVE, T-A, SUITE 200
BAKERSFIELD, CA 93309
Marriage & Family Therapist
4900 CALIFORNIA AVE, TOWER B, SUITE 330
BAKERSFIELD, CA 93309
Clinic/Center (Adolescent and Children Mental Health)
4900 CALIFORNIA AVE, TOWER B, SUITE 210
BAKERSFIELD, CA 93309
Nurse Practitioner (Family)
4900 CALIFORNIA AVE, SUITE 400B
BAKERSFIELD, CA 93309
Family Medicine
4900 CALIFORNIA AVE, SUITE 400-B
BAKERSFIELD, CA 93309
Nurse Practitioner (Family)
4900 CALIFORNIA AVE, SUITE 400B
BAKERSFIELD, CA 93309
Social Worker (Clinical)
4900 CALIFORNIA AVE, TOWER A, SUITE 200
BAKERSFIELD, CA 93309
Psychologist (Clinical)
4900 CALIFORNIA AVE, SUITE 210B
BAKERSFIELD, CA 93309
Dentist (General Practice)
4900 CALIFORNIA AVE, SUITE 400-B
BAKERSFIELD, CA 93309
Clinic/Center (Dental)
4900 CALIFORNIA AVE, TOWER B #
BAKERSFIELD, CA 93309
Clinic/Center (Federally Qualified Health Center (FQHC))
4900 CALIFORNIA AVE, 400B
BAKERSFIELD, CA 93309
Physician Assistant
4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309
Registered Nurse (General Practice)
4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309
Registered Nurse
4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309
Behavior Technician
4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309
In Home Supportive Care
4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309
Chiropractor
4900 CALIFORNIA AVE
BAKERSFIELD, CA 93309
Social Worker (Clinical)
4900 CALIFORNIA AVE, TOWER B 2ND FL
BAKERSFIELD, CA 93309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346457157, enumerated as an "organization" on May 17, 2007.

The provider is located at 4900 CALIFORNIA AVE 330-B BAKERSFIELD, CA 93309 and the phone number is (661) 326-8167.

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.