NEUROSMART PSYCHOLOGICAL ASSOCIATES, P.C.
NPI 1639290299
Psychologist - Clinical Child & Adolescent in Cumming, GA

NPI Status: Active since April 02, 2007

Contact Information

309 PIRKLE FERRY RD
SUITE A-200
CUMMING, GA
ZIP 30040
Phone: (770) 889-2848

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About NEUROSMART PSYCHOLOGICAL ASSOCIATES, P.C.

This page provides the complete NPI Profile along with additional information for Neurosmart Psychological Associates, P.c., a provider established in Cumming, Georgia operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1639290299 assigned on April 2007. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Neurosmart Psychological Associates, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Neurosmart, Inc.. The authorized official of this NPI record is Dr. Kathryn C Black Ph.d. (President)

NPI
1639290299
Provider Legal Name
NEUROSMART PSYCHOLOGICAL ASSOCIATES, P.C.
Other Organization Name
NEUROSMART, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
309 PIRKLE FERRY RD SUITE A-200 CUMMING, GA 30040
Location Phone
(770) 889-2848
Mailing Address
309 PIRKLE FERRY RD SUITE A-200 CUMMING, GA 30040
Mailing Phone
(770) 889-2848
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2007
Last Update Date
04-14-2011
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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 State
GA
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.

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)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

(GA)

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.

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.

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. KATHRYN C BLACK PH.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 889-2848

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
614308690AMEDICAID (05)GA 

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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 1639290299, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 3 → 6 2 → 4 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 4 + 9 + 0 + 2 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1639290299.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Chiropractor
309 PIRKLE FERRY RD, SUITE A-100
CUMMING, GA 30040
Dentist
309 PIRKLE FERRY RD, C-100
CUMMING, GA 30040
Counselor (Mental Health)
309 PIRKLE FERRY RD, A 400
CUMMING, GA 30040
Psychiatry & Neurology (Psychiatry)
309 PIRKLE FERRY RD, SUITE A200
CUMMING, GA 30040
Clinical Medical Laboratory
309 PIRKLE FERRY RD, SUITE D300
CUMMING, GA 30040
Hearing Instrument Specialist
309 PIRKLE FERRY RD
CUMMING, GA 30040
Chiropractor
309 PIRKLE FERRY RD, SUITE A-200
CUMMING, GA 30040
Chiropractor
309 PIRKLE FERRY RD
CUMMING, GA 30040
Counselor (Mental Health)
309 PIRKLE FERRY RD
CUMMING, GA 30040
Chiropractor
309 PIRKLE FERRY RD, E-100
CUMMING, GA 30040
Counselor (Professional)
309 PIRKLE FERRY RD
CUMMING, GA 30040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639290299, enumerated as an "organization" on April 02, 2007.

The provider is located at 309 PIRKLE FERRY RD SUITE A-200 CUMMING, GA 30040 and the phone number is (770) 889-2848.

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

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