PENTICOFF COMMUNITY COUNSELING, INC.
NPI 1588896310
Psychologist - Clinical in Woodbury, MN

NPI Status: Active since August 12, 2009

Contact Information

1818 WOODDALE DR STE 204
WOODBURY, MN
ZIP 55125
Phone: (651) 255-6678
Fax: (651) 501-6091

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  • Organization
  • Psychologist
  • Clinical

About PENTICOFF COMMUNITY COUNSELING, INC.

This page provides the complete NPI Profile along with additional information for Penticoff Community Counseling, Inc., a provider established in Woodbury, Minnesota operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1588896310 assigned on August 2009. The practitioner's primary taxonomy code is 103TC0700X with license number LP-4060 (MN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Renee Marie Penticoff Psy.d. (Owner, President)

NPI
1588896310
Provider Name
PENTICOFF COMMUNITY COUNSELING, INC.
Entity Type
Organization
Location Address
1818 WOODDALE DR STE 204 WOODBURY, MN 55125
Location Phone
(651) 255-6678
Location Fax
(651) 501-6091
Mailing Address
PO BOX 25334 WOODBURY, MN 55125
Mailing Phone
(651) 255-6678
Mailing Fax
(651) 501-6091
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2009
Last Update Date
08-12-2009
Code Navigator

A clinical psychologist like Penticoff Community Counseling, Inc. 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
License No.
LP-4060
License State
MN
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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. RENEE MARIE PENTICOFF PSY.D.

Authorized Official Title
OWNER, PRESIDENT
Authorized Official Phone
(651) 255-6678

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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.
1588896310
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681691232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 1 + 2 + 3 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1588896310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588896310, enumerated as an "organization" on August 12, 2009.

The provider is located at 1818 WOODDALE DR STE 204 WOODBURY, MN 55125 and the phone number is (651) 255-6678.

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