EDWYN W. ORTIZ-NANCE PSYCHOLOGICAL SERVICES
NPI 1396156030
Preferred Provider Organization in Fresno, CA

NPI Status: Active since May 15, 2014

Contact Information

2080 N WINERY AVE
#101
FRESNO, CA
ZIP 93703
Phone: (559) 252-6353
Fax: (559) 252-7964

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  • Preferred Provider Organization

About EDWYN W. ORTIZ-NANCE PSYCHOLOGICAL SERVICES

This page provides the complete NPI Profile along with additional information for Edwyn W. Ortiz-nance Psychological Services, a provider established in Fresno, California operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1396156030 assigned on May 2014. The practitioner's primary taxonomy code is 305R00000X with license number PSB94020449 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Edwyn W. Ortiz-nance (Clinical Psychologist Administrator)

NPI
1396156030
Provider Name
EDWYN W. ORTIZ-NANCE PSYCHOLOGICAL SERVICES
Entity Type
Organization
Location Address
2080 N WINERY AVE #101 FRESNO, CA 93703
Location Phone
(559) 252-6353
Location Fax
(559) 252-7964
Mailing Address
2080 N WINERY AVE #101 FRESNO, CA 93703
Mailing Phone
(559) 252-6353
Mailing Fax
(559) 252-7964
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2014
Last Update Date
05-15-2014
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
PSB94020449
License State
CA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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)
1302F00000XManaged Care Organizations

Exclusive Provider Organization

PSB94020449 (CA)

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. EDWYN W. ORTIZ-NANCE

Authorized Official Title
CLINICAL PSYCHOLOGIST ADMINISTRATOR
Authorized Official Phone
(559) 252-6353

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396156030
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186251206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 2 + 5 + 1 + 2 + 0 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396156030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. KRISTIN LEE BEASLEY

Psychologist

(Clinical)

2080 N WINERY AVE
#101
FRESNO, CA
ZIP 93703

(559) 252-6353

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396156030, enumerated as an "organization" on May 15, 2014.

The provider is located at 2080 N WINERY AVE #101 FRESNO, CA 93703 and the phone number is (559) 252-6353.

Preferred Provider Organization with taxonomy code 305R00000X.