KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.
NPI 1790233666
Psychologist - Clinical Child & Adolescent in Columbia, MD

NPI Status: Active since September 20, 2016

Contact Information

8821 COLUMBIA 100 PKWY
COLUMBIA, MD
ZIP 21045
Phone: (410) 997-1700
Fax: (410) 740-8315

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent
  • CLIA Number: 21D0214547
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2026

About KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.

This page provides the complete NPI Profile along with additional information for Kenneth M. Klebanow, M.d. & Associates, P.a., a provider established in Columbia, Maryland operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1790233666 assigned on September 2016. The practitioner's primary taxonomy code is 103TC2200X with license number 05562 (MD). The provider is registered as an organization and their NPI record was last updated 4 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 Jessica K. Winkles Phd (Psychologist)

NPI
1790233666
Provider Name
KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.
Entity Type
Organization
Location Address
8821 COLUMBIA 100 PKWY COLUMBIA, MD 21045
Location Phone
(410) 997-1700
Location Fax
(410) 740-8315
Mailing Address
8821 COLUMBIA 100 PKWY COLUMBIA, MD 21045
Mailing Phone
(410) 997-1700
Mailing Fax
(410) 740-8315
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2016
Last Update Date
07-28-2022
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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.
05562
License State
MD
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

JESSICA K. WINKLES PHD

Authorized Official Title
PSYCHOLOGIST
Authorized Official Phone
(410) 794-4924

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0214547
Facility Type
Physician Office
Certificate Effective Date
November 01, 2024
Certificate Expiration Date
October 31, 2026
Laboratory Director
DR. DANA E. WOLLNEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kenneth M. Klebanow, M.d. & Associates, P.a. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KENNETH M. KLEBANOW, M.D. & ASSOCIATES, P.A.

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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 1790233666, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 9 → 18 → 9 2 → 4 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 4 + 3 + 6 + 6 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1790233666.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
8821 COLUMBIA 100 PKWY, SUITE 3A
COLUMBIA, MD 21045
Pediatrics (Adolescent Medicine)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Acupuncturist
8821 COLUMBIA 100 PKWY, SUITE 5
COLUMBIA, MD 21045
Psychologist (Clinical Child & Adolescent)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Acupuncturist
8821 COLUMBIA 100 PKWY, SUITE 5
COLUMBIA, MD 21045
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Psychologist (Clinical Child & Adolescent)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Psychologist (Clinical Child & Adolescent)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Nurse Practitioner (Pediatrics)
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045
Pediatrics
8821 COLUMBIA 100 PKWY
COLUMBIA, MD 21045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790233666, enumerated as an "organization" on September 20, 2016.

The provider is located at 8821 COLUMBIA 100 PKWY COLUMBIA, MD 21045 and the phone number is (410) 997-1700.

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