SAMUEL BOMO KOROMA
NPI 1619612934
Psychologist - Group Psychotherapy in Washington, DC

NPI Status: Active since May 02, 2022

Contact Information

920 BELLEVUE ST SE
WASHINGTON, DC
ZIP 20032
Phone: (202) 562-4939

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  • Individual
  • Male
  • Psychologist
  • Group Psychotherapy
  • PECOS Enrolled

About SAMUEL KOROMA

This page provides the complete NPI Profile along with additional information for Samuel Koroma, a provider established in Washington, District Of Columbia with a medical specialization in Psychologist, focusing in group psychotherapy . The healthcare provider is registered in the NPI registry with number 1619612934 assigned on May 2022. The practitioner's primary taxonomy code is 103TP2701X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1619612934
Provider Name
SAMUEL BOMO KOROMA
Gender
Male
Entity Type
Individual
Location Address
920 BELLEVUE ST SE WASHINGTON, DC 20032
Location Phone
(202) 562-4939
Mailing Address
1140 3RD ST NE WASHINGTON, DC 20002
Is Sole Proprietor?
Yes
Enumeration Date
05-02-2022
Last Update Date
12-21-2023
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Location Map

Secondary Locations

  • 1140 3rd St NE
    Washington, DC 20002
    (202) 500-6617

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 Group Psychotherapy

Taxonomy Code
103TP2701X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

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

LC50078067 (DC)

Medicare Participation & PECOS Enrollment Status

Samuel Koroma is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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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 1619612934, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 1 → 2 6 → 12 → 3 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 2 + 1 + 4 + 9 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1619612934.

Other Providers at the Same Location


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

Clinic/Center (Rehabilitation, Substance Use Disorder)
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Counselor (Addiction (Substance Use Disorder))
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Counselor (Addiction (Substance Use Disorder))
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Registered Nurse (Psychiatric/Mental Health, Adult)
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Case Manager/Care Coordinator
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Counselor (Mental Health)
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Registered Nurse (Psychiatric/Mental Health, Adult)
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Social Worker (Clinical)
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Substance Abuse Rehabilitation Facility
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Case Manager/Care Coordinator
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Case Manager/Care Coordinator
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Case Manager/Care Coordinator
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Registered Nurse
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Peer Specialist
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Social Worker
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Peer Specialist
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Peer Specialist
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Case Manager/Care Coordinator
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Counselor (Addiction (Substance Use Disorder))
920 BELLEVUE ST SE
WASHINGTON, DC 20032
Registered Nurse
920 BELLEVUE ST SE
WASHINGTON, DC 20032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619612934, enumerated as an "individual" on May 02, 2022.

The provider is located at 920 BELLEVUE ST SE WASHINGTON, DC 20032 and the phone number is (202) 562-4939.

Psychologist with taxonomy code 103TP2701X and a focus in Group Psychotherapy.