SRM CLINICAL PSYCHOLOGY P A
NPI 1811133309
Clinical Neuropsychologist in Hollywood, FL

NPI Status: Active since January 05, 2009

Contact Information

6100 HOLLYWOOD BLVD
SUITE 201
HOLLYWOOD, FL
ZIP 33024
Phone: (954) 962-8052
Fax: (954) 966-4774

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  • Organization
  • Clinical Neuropsychologist

About SRM CLINICAL PSYCHOLOGY P A

This page provides the complete NPI Profile along with additional information for Srm Clinical Psychology P A, a provider established in Hollywood, Florida operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1811133309 assigned on January 2009. The practitioner's primary taxonomy code is 103G00000X with license number 7360 (FL). The provider is registered as an organization and their NPI record was last updated 17 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 Sara Malagold (President)

NPI
1811133309
Provider Name
SRM CLINICAL PSYCHOLOGY P A
Entity Type
Organization
Location Address
6100 HOLLYWOOD BLVD SUITE 201 HOLLYWOOD, FL 33024
Location Phone
(954) 962-8052
Location Fax
(954) 966-4774
Mailing Address
3215 NE 184TH ST APTO 14203 NORTH MIAMI BEACH, FL 33160
Mailing Phone
(954) 962-8052
Mailing Fax
(954) 966-4774
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2009
Last Update Date
08-20-2009
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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.
7360
License State
FL
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

SARA MALAGOLD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(954) 962-8052

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
CA913AMEDICARE PIN (08)FL 
7360OTHER (01)FLLIC

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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 1811133309, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
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 1 → 2 1 → 2 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 2 + 3 + 6 + 3 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1811133309.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Chiropractor
6100 HOLLYWOOD BLVD, SUITE 409
HOLLYWOOD, FL 33024
Psychologist (Clinical)
6100 HOLLYWOOD BLVD, SUITE 201
HOLLYWOOD, FL 33024
Urology
6100 HOLLYWOOD BLVD, SUITE 100
HOLLYWOOD, FL 33024
Specialist
6100 HOLLYWOOD BLVD, SUITE 106
HOLLYWOOD, FL 33024
Family Medicine
6100 HOLLYWOOD BLVD, SUITE 409
HOLLYWOOD, FL 33024
Psychologist (Clinical)
6100 HOLLYWOOD BLVD, SUITE 202
HOLLYWOOD, FL 33024
Clinical Medical Laboratory
6100 HOLLYWOOD BLVD, SUITE 306
HOLLYWOOD, FL 33024
Durable Medical Equipment & Medical Supplies
6100 HOLLYWOOD BLVD, STE 510
HOLLYWOOD, FL 33024
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
6100 HOLLYWOOD BLVD
HOLLYWOOD, FL 33024
Durable Medical Equipment & Medical Supplies
6100 HOLLYWOOD BLVD, SUITE 522
HOLLYWOOD, FL 33024
Clinic/Center (Physical Therapy)
6100 HOLLYWOOD BLVD, SUITE 100
HOLLYWOOD, FL 33024
Clinic/Center (Multi-Specialty)
6100 HOLLYWOOD BLVD
HOLLYWOOD, FL 33024
Nurse Practitioner
6100 HOLLYWOOD BLVD
HOLLYWOOD, FL 33024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811133309, enumerated as an "organization" on January 05, 2009.

The provider is located at 6100 HOLLYWOOD BLVD SUITE 201 HOLLYWOOD, FL 33024 and the phone number is (954) 962-8052.

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.