SOUTHEAST FAMILY SERVICES OF RALEIGH
NPI 1902199748
Psychologist - Clinical Child & Adolescent in Raleigh, NC

NPI Status: Active since May 26, 2011

Contact Information

3716 NATIONAL DR
SUITE 124
RALEIGH, NC
ZIP 27612
Phone: (919) 783-8846
Fax: (919) 783-7305

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About SOUTHEAST FAMILY SERVICES OF RALEIGH

This page provides the complete NPI Profile along with additional information for Southeast Family Services Of Raleigh, a provider established in Raleigh, North Carolina operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1902199748 assigned on May 2011. The practitioner's primary taxonomy code is 103TC2200X with license number 3757 (NC). The provider is registered as an organization and their NPI record was last updated 15 years ago. Southeast Family Services Of Raleigh operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brenda Vath (Office Manager)

NPI
1902199748
Provider Name
SOUTHEAST FAMILY SERVICES OF RALEIGH
Entity Type
Organization
Location Address
3716 NATIONAL DR SUITE 124 RALEIGH, NC 27612
Location Phone
(919) 783-8846
Location Fax
(919) 783-7305
Mailing Address
3716 NATIONAL DR SUITE 124 RALEIGH, NC 27612
Mailing Phone
(919) 783-8846
Mailing Fax
(919) 783-7305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2011
Last Update Date
05-26-2011
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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.
3757
License State
NC
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.

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)
1225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Pediatrics

5028 (NC)
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

6834 (NC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

BRENDA VATH

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(919) 783-8846

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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 1902199748, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 2 + 9 + 1 + 8 + 7 + 8 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1902199748.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Psychologist (Clinical)
3716 NATIONAL DR, SUIT 208
RALEIGH, NC 27612
Psychologist (Clinical)
3716 NATIONAL DR, SUITE 124
RALEIGH, NC 27612
Social Worker (Clinical)
3716 NATIONAL DR, SUITE 224
RALEIGH, NC 27612
Psychologist
3716 NATIONAL DR, SUITE 124
RALEIGH, NC 27612
Speech-Language Pathologist
3716 NATIONAL DR, SUITE 124
RALEIGH, NC 27612
Speech-Language Pathologist
3716 NATIONAL DR, SUITE 124
RALEIGH, NC 27612
Speech-Language Pathologist
3716 NATIONAL DR, SUITE 124
RALEIGH, NC 27612
Psychologist
3716 NATIONAL DR, SUITE 124
RALEIGH, NC 27612
Psychologist (Clinical)
3716 NATIONAL DR, SUIT 208
RALEIGH, NC 27612
Occupational Therapist
3716 NATIONAL DR, SUITE 124
RALEIGH, NC 27612
Psychologist (Clinical)
3716 NATIONAL DR, SUITE 124
RALEIGH, NC 27612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902199748, enumerated as an "organization" on May 26, 2011.

The provider is located at 3716 NATIONAL DR SUITE 124 RALEIGH, NC 27612 and the phone number is (919) 783-8846.

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