MS. TINATIN SURGULADZE DH.D.
NPI 1700289360
Psychologist in Providence, RI
NPI Status: Active since September 26, 2014
Contact Information
205 WATERMAN ST SUITE 106
PROVIDENCE, RI
ZIP 02906
Phone: (857) 333-0533
- Individual
- Female
- Psychologist
- PECOS Enrolled
About TINATIN SURGULADZE
This page provides the complete NPI Profile along with additional information for Tinatin Surguladze, a provider established in Providence, Rhode Island with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1700289360 assigned on September 2014. The practitioner's primary taxonomy code is 103T00000X with license number PS01795 (RI). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1700289360
- Provider Name
- MS. TINATIN SURGULADZE DH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 205 WATERMAN ST SUITE 106 PROVIDENCE, RI 02906
- Location Phone
- (857) 333-0533
- Mailing Address
- 3 BURGESS RD FOSTER, RI 02825
- Mailing Phone
- (857) 333-0533
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-26-2014
- Last Update Date
- 04-29-2020
- Code Navigator
A psychologist like Tinatin Surguladze 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.
Location Map
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.
- PS01795
- License State
- RI
- 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) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 11259 (MA) |
Medicare Participation & PECOS Enrollment Status
Tinatin Surguladze 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: 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: No
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 1700289360, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700289360, enumerated as an "individual" on September 26, 2014.
The provider is located at 205 WATERMAN ST SUITE 106 PROVIDENCE, RI 02906 and the phone number is (857) 333-0533.
Psychologist with taxonomy code 103T00000X.