DR. SAMUEL MARK BROTKIN PHD
NPI 1538996830
Psychologist - Clinical Child & Adolescent in Durham, NC

NPI Status: Active since September 19, 2024

Contact Information

3500 WESTGATE DR STE 900
DURHAM, NC
ZIP 27707
Phone: (516) 880-4536

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  • Individual
  • Male
  • Psychologist
  • Clinical Child & Adolescent

About SAMUEL BROTKIN

This page provides the complete NPI Profile along with additional information for Samuel Brotkin, a provider established in Durham, North Carolina with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1538996830 assigned on September 2024. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1538996830
Provider Name
DR. SAMUEL MARK BROTKIN PHD
Gender
Male
Entity Type
Individual
Location Address
3500 WESTGATE DR STE 900 DURHAM, NC 27707
Location Phone
(516) 880-4536
Mailing Address
3500 WESTGATE DR STE 900 DURHAM, NC 27707
Is Sole Proprietor?
No
Enumeration Date
09-19-2024
Last Update Date
09-19-2024
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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

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
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.

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)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

0810008519 (VA)

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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.
1538996830
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681891286
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 8 + 9 + 1 + 2 + 8 + 6 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1538996830 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 2 providers are registered at the same or nearby location.

ANNA ELIZABETH CRAIG PHD CLINICAL PSYCHOLOGIST

Clinic/Center

(Adolescent and Children Mental Health)

3500 WESTGATE DR STE 900
DURHAM, NC
ZIP 27707

(919) 891-3096

DR. KYLA MACHELL BLALOCK PHD

Psychologist

(Clinical Child & Adolescent)

3500 WESTGATE DR STE 900
DURHAM, NC
ZIP 27707

(919) 891-3096

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538996830, enumerated as an "individual" on September 19, 2024.

The provider is located at 3500 WESTGATE DR STE 900 DURHAM, NC 27707 and the phone number is (516) 880-4536.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.