CONFIDENCE CLUB PSYCHOLOGY SERVICES, INC.
NPI 1447082102
Clinic/Center - Adolescent and Children Mental Health in Oakland, CA

NPI Status: Active since August 20, 2024

Contact Information

55 SANTA CLARA AVE STE 177
OAKLAND, CA
ZIP 94610
Phone: (510) 255-5141

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About CONFIDENCE CLUB PSYCHOLOGY SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Confidence Club Psychology Services, Inc., a provider established in Oakland, California operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1447082102 assigned on August 2024. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Katya Ekman (Ceo)

NPI
1447082102
Provider Name
CONFIDENCE CLUB PSYCHOLOGY SERVICES, INC.
Entity Type
Organization
Location Address
55 SANTA CLARA AVE STE 177 OAKLAND, CA 94610
Location Phone
(510) 255-5141
Mailing Address
55 SANTA CLARA AVE STE 177 OAKLAND, CA 94610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2024
Last Update Date
08-20-2024
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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

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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. KATYA EKMAN

Authorized Official Title
CEO
Authorized Official Phone
(510) 255-5141

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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.
1447082102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248708410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 0 + 8 + 4 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1447082102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447082102, enumerated as an "organization" on August 20, 2024.

The provider is located at 55 SANTA CLARA AVE STE 177 OAKLAND, CA 94610 and the phone number is (510) 255-5141.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.