ROANOKE RAPIDS GRADED SCHOOL DISTRICT
NPI 1407999899
Psychologist - Clinical Child & Adolescent in Roanoke Rapids, NC

NPI Status: Active since February 15, 2007

Contact Information

536 HAMILTON ST
ROANOKE RAPIDS, NC
ZIP 27870
Phone: (252) 519-7108
Fax: (252) 535-5919

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent
  • CLIA Number: 34D0968309
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 12-07-2027

About ROANOKE RAPIDS GRADED SCHOOL DISTRICT

This page provides the complete NPI Profile along with additional information for Roanoke Rapids Graded School District, a provider established in Roanoke Rapids, North Carolina operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1407999899 assigned on February 2007. The practitioner's primary taxonomy code is 103TC2200X with license number 0693 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. Roanoke Rapids Graded School District 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 Mrs. Ellen R Burnett Lpa (Mental Health Director)

NPI
1407999899
Provider Name
ROANOKE RAPIDS GRADED SCHOOL DISTRICT
Entity Type
Organization
Location Address
536 HAMILTON ST ROANOKE RAPIDS, NC 27870
Location Phone
(252) 519-7108
Location Fax
(252) 535-5919
Mailing Address
536 HAMILTON ST ROANOKE RAPIDS, NC 27870
Mailing Phone
(252) 519-7108
Mailing Fax
(252) 535-5919
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2007
Last Update Date
08-22-2020
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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 Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
0693
License State
NC
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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.

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

MRS. ELLEN R BURNETT LPA

Authorized Official Title
MENTAL HEALTH DIRECTOR
Authorized Official Phone
(252) 519-7108

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0968309
Facility Type
School/Student Health Service
Certificate Effective Date
December 08, 2025
Certificate Expiration Date
December 07, 2027
Laboratory Director
SARAH S. DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Roanoke Rapids Graded School District to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1407999899, we treat the final digit (9) 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 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 0 → 0 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 1 + 8 + 9 + 1 + 8 + 8 + 1 + 8 + 24 = 81

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

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1407999899.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Speech-Language Pathologist
536 HAMILTON ST
ROANOKE RAPIDS, NC 27870
Speech-Language Pathologist
536 HAMILTON ST
ROANOKE RAPIDS, NC 27870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407999899, enumerated as an "organization" on February 15, 2007.

The provider is located at 536 HAMILTON ST ROANOKE RAPIDS, NC 27870 and the phone number is (252) 519-7108.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.