PROFESSIONAL CLINICAL SERVICES OF WI 1 LLC
NPI 1508133158
Psychologist - Clinical in Vero Beach, FL

NPI Status: Active since November 28, 2011

Contact Information

292 OLD DIXIE HWY
VERO BEACH, FL
ZIP 32962
Phone: (772) 494-2700
Fax: (772) 562-8127

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  • Organization
  • Psychologist
  • Clinical

About PROFESSIONAL CLINICAL SERVICES OF WI 1 LLC

This page provides the complete NPI Profile along with additional information for Professional Clinical Services Of Wi 1 Llc, a provider established in Vero Beach, Florida operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1508133158 assigned on November 2011. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Professional Clinical Services Of Wi 1 Llc 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 Mr. David Edward Sommerfeld (Manager)

NPI
1508133158
Provider Name
PROFESSIONAL CLINICAL SERVICES OF WI 1 LLC
Entity Type
Organization
Location Address
292 OLD DIXIE HWY VERO BEACH, FL 32962
Location Phone
(772) 494-2700
Location Fax
(772) 562-8127
Mailing Address
292 OLD DIXIE HWY VERO BEACH, FL 32962
Mailing Phone
(772) 494-2700
Mailing Fax
(772) 562-8127
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2011
Last Update Date
11-28-2011
Code Navigator

A clinical psychologist like Professional Clinical Services Of Wi 1 Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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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

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
4102L00000XBehavioral Health & Social Service Providers

Psychoanalyst

 
5103T00000XBehavioral Health & Social Service Providers

Psychologist

 
6103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

 
7103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
8103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

 
9103TH0100XBehavioral Health & Social Service Providers

Psychologist
Health Service

 
10103TP0016XBehavioral Health & Social Service Providers

Psychologist
Prescribing (Medical)

 
11103TP0814XBehavioral Health & Social Service Providers

Psychologist
Psychoanalysis

 
12103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 
132084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
142084P0805XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Geriatric Psychiatry

 

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

MR. DAVID EDWARD SOMMERFELD

Authorized Official Title
MANAGER
Authorized Official Phone
(772) 494-2700

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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 1508133158, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 1 → 2 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 2 + 3 + 6 + 1 + 1 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1508133158.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508133158, enumerated as an "organization" on November 28, 2011.

The provider is located at 292 OLD DIXIE HWY VERO BEACH, FL 32962 and the phone number is (772) 494-2700.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.