BLACK MOUNTAIN NEUROPSYCHOLOGY, PLLC
NPI 1548675077
Clinical Neuropsychologist in Scottsdale, AZ

NPI Status: Active since June 23, 2014

Contact Information

33755 N SCOTTSDALE RD
SUITE J105
SCOTTSDALE, AZ
ZIP 85266
Phone: (480) 575-5700
Fax: (866) 307-0007

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  • Organization
  • Clinical Neuropsychologist

About BLACK MOUNTAIN NEUROPSYCHOLOGY, PLLC

This page provides the complete NPI Profile along with additional information for Black Mountain Neuropsychology, Pllc, a provider established in Scottsdale, Arizona operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1548675077 assigned on June 2014. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Black Mountain Neuropsychology, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Konstantinos D Thomopoulos Psyd (Member)

NPI
1548675077
Provider Name
BLACK MOUNTAIN NEUROPSYCHOLOGY, PLLC
Entity Type
Organization
Location Address
33755 N SCOTTSDALE RD SUITE J105 SCOTTSDALE, AZ 85266
Location Phone
(480) 575-5700
Location Fax
(866) 307-0007
Mailing Address
33755 N SCOTTSDALE RD SUITE J105 SCOTTSDALE, AZ 85266
Mailing Phone
(480) 575-5700
Mailing Fax
(866) 307-0007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2014
Last Update Date
06-23-2014
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
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.

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)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

 
3103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

 
4103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
5103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
6103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
7103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

 
8103TF0200XBehavioral Health & Social Service Providers

Psychologist
Forensic

 
9103TH0004XBehavioral Health & Social Service Providers

Psychologist
Health

 
10103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 
11103TR0400XBehavioral Health & Social Service Providers

Psychologist
Rehabilitation

 

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

DR. KONSTANTINOS D THOMOPOULOS PSYD

Authorized Official Title
MEMBER
Authorized Official Phone
(480) 575-5700

Reviews for BLACK MOUNTAIN NEUROPSYCHOLOGY, PLLC

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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.
1548675077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258812710014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 7 + 1 + 0 + 0 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1548675077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

JOHN S BICKLE DO PLC

Family Medicine

33755 N SCOTTSDALE RD
SUITE 120
SCOTTSDALE, AZ
ZIP 85266

(480) 595-8900

ARIZONA HEALTH CARE CLINIC PC

Chiropractor

33755 N SCOTTSDALE RD
SUITE 101
SCOTTSDALE, AZ
ZIP 85266

(480) 595-6100

BLACK MOUNTAIN BEHAVIORAL HEALTH, LLC

Clinic/Center

(Rehabilitation, Substance Use Disorder)

33755 N SCOTTSDALE RD
SUITE J-105
SCOTTSDALE, AZ
ZIP 85266

(480) 595-1555

DR. KONSTANTINOS D. THOMOPOULOS PSYD

Clinical Neuropsychologist

33755 N SCOTTSDALE RD
SUITE J-105
SCOTTSDALE, AZ
ZIP 85266

(480) 575-5700

DR. MELANIE S ANDERSON PSYD

Psychologist

(Addiction (Substance Use Disorder))

33755 N SCOTTSDALE RD
SUITE J-105
SCOTTSDALE, AZ
ZIP 85266

(480) 595-1555

MELANIE S ANDERSON PSYD PLLC

Psychologist

(Addiction (Substance Use Disorder))

33755 N SCOTTSDALE RD
SUITE J105
SCOTTSDALE, AZ
ZIP 85266

(480) 595-1555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548675077, enumerated as an "organization" on June 23, 2014.

The provider is located at 33755 N SCOTTSDALE RD SUITE J105 SCOTTSDALE, AZ 85266 and the phone number is (480) 575-5700.

Clinical Neuropsychologist with taxonomy code 103G00000X.