DR. ROBERT ROY CLARK PH.D.
NPI 1629008453
Psychologist in Killingworth, CT

NPI Status: Active since July 04, 2006

Contact Information

176 ROUTE 81
KILLINGWORTH, CT
ZIP 06419
Phone: (860) 663-2668
Fax: (860) 663-2488

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  • Individual
  • Male
  • Psychologist

About ROBERT CLARK

This page provides the complete NPI Profile along with additional information for Robert Clark, a provider established in Killingworth, Connecticut with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1629008453 assigned on July 2006. The practitioner's primary taxonomy code is 103T00000X with license number 2170 (CT). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1629008453
Provider Name
DR. ROBERT ROY CLARK PH.D.
Gender
Male
Entity Type
Individual
Location Address
176 ROUTE 81 KILLINGWORTH, CT 06419
Location Phone
(860) 663-2668
Location Fax
(860) 663-2488
Mailing Address
232 ROUTE 80 KILLINGWORTH, CT 06419
Mailing Phone
(860) 663-2138
Mailing Fax
(860) 663-2488
Is Sole Proprietor?
Yes
Enumeration Date
07-04-2006
Last Update Date
07-09-2007
Code Navigator

A psychologist like Robert Clark studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating 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

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
2170
License State
CT
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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

4648 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
V50271MEDICARE ID-TYPE UNSPECIFIED (04)NYPROVIDER NUMBER
060002170CT01MEDICARE UPIN (02)CT 

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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 1629008453, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 0 → 0 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 0 + 0 + 1 + 6 + 4 + 1 + 0 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1629008453.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Marriage & Family Therapist
176 ROUTE 81
KILLINGWORTH, CT 06419
Psychologist
176 ROUTE 81
KILLINGWORTH, CT 06419
Social Worker
176 ROUTE 81
KILLINGWORTH, CT 06419

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629008453, enumerated as an "individual" on July 04, 2006.

The provider is located at 176 ROUTE 81 KILLINGWORTH, CT 06419 and the phone number is (860) 663-2668.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.