DR. MICHELLE BLOSE PSYD
NPI 1750995114
Clinical Neuropsychologist in Pineville, LA
NPI Status: Active since September 03, 2020
Contact Information
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
Phone: (318) 473-0010
- Individual
- Female
- Clinical Neuropsychologist
About MICHELLE BLOSE
This page provides the complete NPI Profile along with additional information for Michelle Blose, a provider established in Pineville, Louisiana with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1750995114 assigned on September 2020. The practitioner's primary taxonomy code is 103G00000X with license number 35SI00757700 (NJ). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1750995114
- Provider Name
- DR. MICHELLE BLOSE PSYD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2495 SHREVEPORT HWY PINEVILLE, LA 71360
- Location Phone
- (318) 473-0010
- Mailing Address
- 2495 SHREVEPORT HWY PINEVILLE, LA 71360
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-03-2020
- Last Update Date
- 01-16-2025
- Code Navigator
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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 35SI00757700
- License State
- NJ
- 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.
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 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 203-032 (NJ) |
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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. | |||||||||
| 1 | 7 | 5 | 0 | 9 | 9 | 5 | 1 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 18 | 9 | 10 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 8 + 9 + 1 + 0 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1750995114 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MR. JOHN EDWARD MCBRIDE
Social Worker
(Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MS. TAMARA DIANE RICHARDSON LCSW
Social Worker
(Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MRS. SABRINA JEWEL BORDELON LCSW
Social Worker
(Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MR. DAVID ALLEN NAGY LMSW
Social Worker
(Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MRS. RENA D POWELL MSW/LCSW
Social Worker
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MRS. ALICE RISLEY CORLEY MA.CCC.SLP
Speech-Language Pathologist
2495 SHREVEPORT HWY
VAMC SPEECH CLINIC (126)
PINEVILLE, LA
ZIP 71360
MR. MICHAEL ROACH LCSW
Social Worker
(Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MS. TINA PARKER EYRE MSW
Social Worker
(Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MR. WILLIS E COX III
Kinesiotherapist
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MS. VIRGINIA M WIGGINTON MSW, LCSW
Social Worker
(Clinical)
2495 SHREVEPORT HWY
71 NORTH
PINEVILLE, LA
ZIP 71360
CRYSTAL BRADY GRIM M.S., CCC-A
Audiologist
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MS. CYNTHIA N SLAYDON FNP
Nurse Practitioner
(Family)
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
DANNA DYESS BORDELON M.S.W., L.C.S.W.
Social Worker
(Clinical)
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
RANDELL STEVAN FLETCHER RPH
Pharmacist
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MRS. ROCHELLE RICHE TATE RPH
Pharmacist
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MRS. KEATRINA MARIE JACKSON RPH
Pharmacist
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MS. DOROTHY M THOMAS GSW
Social Worker
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MRS. JERRIE BARFIELD LDN, RD
Dietitian, Registered
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
MR. ROBERT TODD BELLARD R.D.
Dietitian, Registered
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
THERESA H LOUVIERE MA, LDN,RD
Dietitian, Registered
2495 SHREVEPORT HWY
PINEVILLE, LA
ZIP 71360
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750995114, enumerated as an "individual" on September 03, 2020.
The provider is located at 2495 SHREVEPORT HWY PINEVILLE, LA 71360 and the phone number is (318) 473-0010.
Clinical Neuropsychologist with taxonomy code 103G00000X.
