GREEN ROOM PSYCHOLOGY SERVICES INCORPORATION
NPI 1811263957
Specialist in San Diego, CA
NPI Status: Active since March 22, 2012
Contact Information
5252 BALBOA AVE
SUITE 204
SAN DIEGO, CA
ZIP 92117
Phone: (858) 480-9118
Fax: (858) 712-9035
NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Specialist
About GREEN ROOM PSYCHOLOGY SERVICES INCORPORATION
This page provides the complete NPI Profile along with additional information for Green Room Psychology Services Incorporation, a provider established in San Diego, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1811263957 assigned on March 2012. The practitioner's primary taxonomy code is 174400000X with license number 23114 (CA). The provider is registered as an organization and their NPI record was last updated 9 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 Dr. Neda Khodaparast Psyd, Qme (Ceo)
- NPI
- 1811263957
- Provider Name
- GREEN ROOM PSYCHOLOGY SERVICES INCORPORATION
- Entity Type
- Organization
- Location Address
- 5252 BALBOA AVE SUITE 204 SAN DIEGO, CA 92117
- Location Phone
- (858) 480-9118
- Location Fax
- (858) 712-9035
- Mailing Address
- 5252 BALBOA AVE SUITE 204 SAN DIEGO, CA 92117
- Mailing Phone
- (858) 480-9118
- Mailing Fax
- (858) 712-9035
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2012
- Last Update Date
- 03-24-2017
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 23114
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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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 1811263957, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92117
SAN DIEGO, CA 92117
SAN DIEGO, CA 92117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811263957, enumerated as an "organization" on March 22, 2012.
The provider is located at 5252 BALBOA AVE SUITE 204 SAN DIEGO, CA 92117 and the phone number is (858) 480-9118.
Specialist with taxonomy code 174400000X.
