SONOMA MEMORY CENTER COMPREHENSIVE PSYCHOLOGY SERVICES PROFESSIONAL CO
NPI 1427362680
Clinical Neuropsychologist in Santa Rosa, CA

NPI Status: Active since July 29, 2010

Contact Information

1111 SONOMA AVE
STE 322
SANTA ROSA, CA
ZIP 95405
Phone: (707) 546-3300
Fax: (415) 457-3819

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  • Organization
  • Clinical Neuropsychologist

About SONOMA MEMORY CENTER COMPREHENSIVE PSYCHOLOGY SERVICES PROFESSIONAL CO

This page provides the complete NPI Profile along with additional information for Sonoma Memory Center Comprehensive Psychology Services Professional Co, a provider established in Santa Rosa, California operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1427362680 assigned on July 2010. The practitioner's primary taxonomy code is 103G00000X with license number PSY13957 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Edgar O Angelone Phd (President)

NPI
1427362680
Provider Name
SONOMA MEMORY CENTER COMPREHENSIVE PSYCHOLOGY SERVICES PROFESSIONAL CO
Entity Type
Organization
Location Address
1111 SONOMA AVE STE 322 SANTA ROSA, CA 95405
Location Phone
(707) 546-3300
Location Fax
(415) 457-3819
Mailing Address
1111 SONOMA AVE STE 322 SANTA ROSA, CA 95405
Mailing Phone
(707) 546-3300
Mailing Fax
(415) 457-3819
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2010
Last Update Date
03-16-2011
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY13957
License State
CA
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Group Taxonomy 193400000X 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.

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. EDGAR O ANGELONE PHD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(707) 546-3300

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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.
1427362680
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447664616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 6 + 6 + 4 + 6 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427362680 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 19 providers are registered at the same or nearby location.

EMMA SUSAN WILLIAMSON CNM

Midwife

1111 SONOMA AVE
STE 316
SANTA ROSA, CA
ZIP 95405

(707) 575-9167

SUTTER MEDICAL GROUP OF THE REDWOODS

Obstetrics & Gynecology

1111 SONOMA AVE
SUITE 316
SANTA ROSA, CA
ZIP 95405

(707) 575-9167

DREW HITTENBERGER AND ASSOCIATES

Orthotic Fitter

1111 SONOMA AVE
SUITE 106
SANTA ROSA, CA
ZIP 95405

(707) 765-1122

NORTHERN CALIFORNIA MEDICAL ASSOC

Orthopaedic Surgery

(Hand Surgery)

1111 SONOMA AVE
STE 202
SANTA ROSA, CA
ZIP 95405

(707) 546-7400

DR. JIRIES PETER MOGANNAM D.D.S., M.D.

Dentist

(Oral and Maxillofacial Surgery)

1111 SONOMA AVE
SUITE #220
SANTA ROSA, CA
ZIP 95405

(707) 566-7300

BRYAN M. PEREIRA, M.D., P.C.

Neurological Surgery

1111 SONOMA AVE
SUITE # 320
SANTA ROSA, CA
ZIP 95405

(707) 546-3592

PATRICK G DEVLIN MD A MEDICAL CORPORATION

Specialist

1111 SONOMA AVE
SUITE 302
SANTA ROSA, CA
ZIP 95405

(707) 545-7300

PETER J MARINCOVICH

Audiologist

1111 SONOMA AVE
SUITE 316
SANTA ROSA, CA
ZIP 95405

(707) 523-4740

LABORATORY CORPORATION OF AMERICA

Clinical Medical Laboratory

1111 SONOMA AVE
SANTA ROSA, CA
ZIP 95405

(707) 528-2065

NORTHERN CALIFORNIA MEDICAL ASSOC INC

Dermatology

1111 SONOMA AVE
STE 202
SANTA ROSA, CA
ZIP 95405

(707) 527-9517

BARRY NEIL SILBERG MD

Plastic Surgery

1111 SONOMA AVE
SUITE 210
SANTA ROSA, CA
ZIP 95405

(707) 528-0911

BARRY NEIL SILBERG, M.D., INC.

Plastic Surgery

1111 SONOMA AVE
SUITE 210
SANTA ROSA, CA
ZIP 95405

(707) 528-0911

DR. ROBERT EARLE SWEAT M.D.

Specialist

1111 SONOMA AVE
SUITE 320
SANTA ROSA, CA
ZIP 95405

(707) 348-3013

MS. TINA PAGE AFIFI HA7576

Hearing Instrument Specialist

1111 SONOMA AVE
STE 316
SANTA ROSA, CA
ZIP 95405

(707) 523-4740

DR. ROGER A KLEIN M.D.

Orthopaedic Surgery

1111 SONOMA AVE
SUITE 106
SANTA ROSA, CA
ZIP 95405

(707) 576-0366

PAUL V SEJUD DMD PC

Dentist

(Oral and Maxillofacial Surgery)

1111 SONOMA AVE
#220
SANTA ROSA, CA
ZIP 95405

(707) 566-7300

SANTA ROSA CARDIAC IMAGING

Nuclear Medicine

(Nuclear Cardiology)

1111 SONOMA AVE
SUITE 108
SANTA ROSA, CA
ZIP 95405

(707) 636-0190

CHRIS A KOSAKOWSKI M.D.

Surgery

1111 SONOMA AVE
STE 112
SANTA ROSA, CA
ZIP 95405

(707) 579-5520

DR. PATRICK DEVLIN MD

Internal Medicine

(Cardiovascular Disease)

1111 SONOMA AVE
SUITE 302
SANTA ROSA, CA
ZIP 95405

(707) 545-7300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427362680, enumerated as an "organization" on July 29, 2010.

The provider is located at 1111 SONOMA AVE STE 322 SANTA ROSA, CA 95405 and the phone number is (707) 546-3300.

Clinical Neuropsychologist with taxonomy code 103G00000X.