COASTAL NEUROTHERAPY, P.A.
NPI 1528353729
Clinical Neuropsychologist in Jacksonville, NC

NPI Status: Active since June 15, 2011

Contact Information

200 VALENCIA DR
SUITE 109
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 353-1760

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  • Organization
  • Clinical Neuropsychologist

About COASTAL NEUROTHERAPY, P.A.

This page provides the complete NPI Profile along with additional information for Coastal Neurotherapy, P.a., a provider established in Jacksonville, North Carolina operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1528353729 assigned on June 2011. The practitioner's primary taxonomy code is 103G00000X with license number 3745 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. Coastal Neurotherapy, P.a. 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 David Hagedorn Ph.d. (President/owner)

NPI
1528353729
Provider Name
COASTAL NEUROTHERAPY, P.A.
Entity Type
Organization
Location Address
200 VALENCIA DR SUITE 109 JACKSONVILLE, NC 28546
Location Phone
(910) 353-1760
Mailing Address
200 VALENCIA DR SUITE 109 JACKSONVILLE, NC 28546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2011
Last Update Date
06-15-2011
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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.
3745
License State
NC
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 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

DAVID HAGEDORN PH.D.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(910) 353-1760

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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 1528353729, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
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 2 → 4 3 → 6 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 4 + 8 + 6 + 5 + 6 + 7 + 4 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1528353729.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Marriage & Family Therapist
200 VALENCIA DR, SUITE 109
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 VALENCIA DR, SUITE 108
JACKSONVILLE, NC 28546
Counselor (Professional)
200 VALENCIA DR, SUITE 137
JACKSONVILLE, NC 28546
Speech-Language Pathologist
200 VALENCIA DR, #118
JACKSONVILLE, NC 28546
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 VALENCIA DR, SUITE 127
JACKSONVILLE, NC 28546
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
200 VALENCIA DR, SUITE 102&103
JACKSONVILLE, NC 28546
Counselor
200 VALENCIA DR, SUITE 137
JACKSONVILLE, NC 28546
Counselor (Mental Health)
200 VALENCIA DR, SUITE 135
JACKSONVILLE, NC 28546
Nursing Facility/Intermediate Care Facility
200 VALENCIA DR, SUITE 103
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 VALENCIA DR, SUITE 101
JACKSONVILLE, NC 28546
Home Health
200 VALENCIA DR, SUITE 165
JACKSONVILLE, NC 28546
Counselor (Professional)
200 VALENCIA DR
JACKSONVILLE, NC 28546
Counselor (Professional)
200 VALENCIA DR, SUITE 198
JACKSONVILLE, NC 28546
Counselor (Professional)
200 VALENCIA DR, SUITE 161
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 VALENCIA DR, SUITE 101
JACKSONVILLE, NC 28546
Community/Behavioral Health
200 VALENCIA DR
JACKSONVILLE, NC 28546
Counselor (Professional)
200 VALENCIA DR, SUITE 123
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 VALENCIA DR
JACKSONVILLE, NC 28546
Counselor (Mental Health)
200 VALENCIA DR, SUITE 160
JACKSONVILLE, NC 28546
Behavior Analyst
200 VALENCIA DR
JACKSONVILLE, NC 28546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528353729, enumerated as an "organization" on June 15, 2011.

The provider is located at 200 VALENCIA DR SUITE 109 JACKSONVILLE, NC 28546 and the phone number is (910) 353-1760.

Clinical Neuropsychologist with taxonomy code 103G00000X.