ADELINE BORTZ
NPI 1467222307
Psychologist - Clinical Child & Adolescent in Menlo Park, CA
NPI Status: Active since January 02, 2024
Contact Information
845 EL CAMINO REAL
MENLO PARK, CA
ZIP 94025
Phone: (650) 762-8352
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- Opted-Out Medicare
About ADELINE BORTZ
This page provides the complete NPI Profile along with additional information for Adeline Bortz, a provider established in Menlo Park, California with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1467222307 assigned on January 2024. The practitioner's primary taxonomy code is 103TC2200X with license number 34667 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1467222307
- Provider Name
- ADELINE BORTZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 845 EL CAMINO REAL MENLO PARK, CA 94025
- Location Phone
- (650) 762-8352
- Mailing Address
- 1405 EL CAMINO REAL APT 314 REDWOOD CITY, CA 94063
- Mailing Phone
- (970) 531-4991
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-02-2024
- Last Update Date
- 01-02-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Adeline Bortz opted out of Medicare effective on 01-02-2024 until 01-02-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
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.
- 34667
- License State
- CA
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-02-2024
Opt-Out End Date: 01-02-2026
Eligible to Order and Refer? No
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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 1467222307, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MENLO PARK, CA 94025
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467222307, enumerated as an "individual" on January 02, 2024.
The provider is located at 845 EL CAMINO REAL MENLO PARK, CA 94025 and the phone number is (650) 762-8352.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
