NEUROPSYCHOLOGY CLINIC PC
NPI 1659553444
Clinical Neuropsychologist in Peoria, IL

NPI Status: Active since December 04, 2007

Contact Information

3100 N DRIES LN
STE 303
PEORIA, IL
ZIP 61604
Phone: (309) 686-9005
Fax: (309) 686-9020

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  • Organization
  • Clinical Neuropsychologist

About NEUROPSYCHOLOGY CLINIC PC

This page provides the complete NPI Profile along with additional information for Neuropsychology Clinic Pc, a provider established in Peoria, Illinois operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1659553444 assigned on December 2007. The practitioner's primary taxonomy code is 103G00000X with license number 071004929 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Rodney P Kurth (Office Manager)

NPI
1659553444
Provider Name
NEUROPSYCHOLOGY CLINIC PC
Entity Type
Organization
Location Address
3100 N DRIES LN STE 303 PEORIA, IL 61604
Location Phone
(309) 686-9005
Location Fax
(309) 686-9020
Mailing Address
3100 N DRIES LN STE 303 PEORIA, IL 61604
Mailing Phone
(309) 686-9005
Mailing Fax
(309) 686-9020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2007
Last Update Date
05-20-2013
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
071004929
License State
IL
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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.

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

MR. RODNEY P KURTH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(309) 686-9005

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
Z12891MEDICARE UPIN (02) 

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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 1659553444, 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
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
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 5 → 10 → 1 5 → 10 → 1 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 0 + 9 + 1 + 0 + 5 + 6 + 4 + 8 + 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 1659553444.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
3100 N DRIES LN, SUITE 101
PEORIA, IL 61604
Dentist
3100 N DRIES LN, SUITE 301
PEORIA, IL 61604
Counselor (Professional)
3100 N DRIES LN, SUITE 302
PEORIA, IL 61604
Clinical Neuropsychologist
3100 N DRIES LN, STE 303
PEORIA, IL 61604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659553444, enumerated as an "organization" on December 04, 2007.

The provider is located at 3100 N DRIES LN STE 303 PEORIA, IL 61604 and the phone number is (309) 686-9005.

Clinical Neuropsychologist with taxonomy code 103G00000X.

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