CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC
NPI 1639287857
Psychologist - Clinical Child & Adolescent in Birmingham, AL

NPI Status: Active since August 28, 2006

Contact Information

4898 VALLEYDALE RD
SUITE A1
BIRMINGHAM, AL
ZIP 35242
Phone: (205) 981-1330
Fax: (205) 981-1390

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC

This page provides the complete NPI Profile along with additional information for Child & Adolescent Psychological Services Of Inverness, Pc, a provider established in Birmingham, Alabama operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1639287857 assigned on August 2006. The practitioner's primary taxonomy code is 103TC2200X with license number 1077 (AL). The provider is registered as an organization and their NPI record was last updated 14 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. Michael David Fetter Ph.d. (Owner/president)

NPI
1639287857
Provider Name
CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES OF INVERNESS, PC
Entity Type
Organization
Location Address
4898 VALLEYDALE RD SUITE A1 BIRMINGHAM, AL 35242
Location Phone
(205) 981-1330
Location Fax
(205) 981-1390
Mailing Address
4898 VALLEYDALE RD SUITE A1 BIRMINGHAM, AL 35242
Mailing Phone
(205) 981-1330
Mailing Fax
(205) 981-1390
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2006
Last Update Date
08-24-2011
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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
License No.
1077
License State
AL
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.

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. MICHAEL DAVID FETTER PH.D.

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(205) 981-1330

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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.
1639287857
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26694814810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 8 + 1 + 4 + 8 + 1 + 0 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639287857 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 3 providers are registered at the same or nearby location.

ANGELLA K JERNIGAN LPC

Counselor

(Professional)

4898 VALLEYDALE RD
SUITE B-4
BIRMINGHAM, AL
ZIP 35242

(205) 538-4710

ALABAMA WELLNESS AND RECOVERY SERVICES, LLC

Counselor

4898 VALLEYDALE RD
SUITE B-1
BIRMINGHAM, AL
ZIP 35242

(205) 306-1164

FRENCH CHIROPRACTIC AND WELLNESS SERVICES

Chiropractor

4898 VALLEYDALE RD
SUITE A-4
BIRMINGHAM, AL
ZIP 35242

(205) 995-5078

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639287857, enumerated as an "organization" on August 28, 2006.

The provider is located at 4898 VALLEYDALE RD SUITE A1 BIRMINGHAM, AL 35242 and the phone number is (205) 981-1330.

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