PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES
NPI 1922011089
Clinical Neuropsychologist in Indianapolis, IN

NPI Status: Active since August 13, 2006

Contact Information

1801 SENATE BLVD
SUITE 770
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-2594
Fax: (317) 962-1895

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  • Organization
  • Clinical Neuropsychologist
  • CLIA Number: 15D2022525
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2027

About PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES

This page provides the complete NPI Profile along with additional information for Pediatric Neuropsychology Associates, a provider established in Indianapolis, Indiana operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1922011089 assigned on August 2006. The practitioner's primary taxonomy code is 103G00000X with license number 20040858A (IN). The provider is registered as an organization and their NPI record was last updated 6 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 Bryan A Hudson Ph.d. (Owner)

NPI
1922011089
Provider Name
PEDIATRIC NEUROPSYCHOLOGY ASSOCIATES
Entity Type
Organization
Location Address
1801 SENATE BLVD SUITE 770 INDIANAPOLIS, IN 46202
Location Phone
(317) 962-2594
Location Fax
(317) 962-1895
Mailing Address
1427 W 86TH ST SUITE 245 INDIANAPOLIS, IN 46260
Mailing Phone
(317) 962-2594
Mailing Fax
(317) 962-1895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-13-2006
Last Update Date
08-22-2020
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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.
20040858A
License State
IN
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.

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

BRYAN A HUDSON PH.D.

Authorized Official Title
OWNER
Authorized Official Phone
(317) 962-2594

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
15D2022525
Facility Type
Physician Office
Certificate Effective Date
April 05, 2025
Certificate Expiration Date
April 04, 2027
Laboratory Director
LAURA HANELINE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pediatric Neuropsychology Associates in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1922011089, 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
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 2 → 4 0 → 0 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 4 + 2 + 0 + 1 + 2 + 0 + 1 + 6 + 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 1922011089.

Other Providers at the Same Location


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

Specialist/Technologist (Athletic Trainer)
1801 SENATE BLVD, SUITE 200
INDIANAPOLIS, IN 46202
1801 SENATE BLVD, # 200
INDIANAPOLIS, IN 46202
1801 SENATE BLVD, # 200
INDIANAPOLIS, IN 46202
1801 SENATE BLVD, # 200
INDIANAPOLIS, IN 46202
1801 SENATE BLVD, # 200
INDIANAPOLIS, IN 46202
1801 SENATE BLVD, # 200
INDIANAPOLIS, IN 46202
1801 SENATE BLVD, # 200
INDIANAPOLIS, IN 46202
Registered Nurse
1801 SENATE BLVD, # 200
INDIANAPOLIS, IN 46202
Internal Medicine (Cardiovascular Disease)
1801 SENATE BLVD, METHODIST PROFESSIONAL CENTER, SUITE 310
INDIANAPOLIS, IN 46202
Surgery (Vascular Surgery)
1801 SENATE BLVD, SUITE 755
INDIANAPOLIS, IN 46202
Clinical Nurse Specialist
1801 SENATE BLVD, SUITE 3100
INDIANAPOLIS, IN 46202
Psychiatry & Neurology (Neurology)
1801 SENATE BLVD
INDIANAPOLIS, IN 46202
Psychiatry & Neurology (Neurology)
1801 SENATE BLVD
INDIANAPOLIS, IN 46202
Pharmacist
1801 SENATE BLVD, THE METHODIST PRESCRIPTION CENTER ROOM 105
INDIANAPOLIS, IN 46202
Pharmacist
1801 SENATE BLVD
INDIANAPOLIS, IN 46202
Pharmacist
1801 SENATE BLVD
INDIANAPOLIS, IN 46202
Pharmacist
1801 SENATE BLVD, METHODIST PRESCRIPTION CENTER
INDIANAPOLIS, IN 46202
Registered Nurse
1801 SENATE BLVD, STE 535
INDIANAPOLIS, IN 46202
Pharmacist
1801 SENATE BLVD, ROOM 105
INDIANAPOLIS, IN 46202
Registered Nurse
1801 SENATE BLVD, MPC 2 SUITE 300
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922011089, enumerated as an "organization" on August 13, 2006.

The provider is located at 1801 SENATE BLVD SUITE 770 INDIANAPOLIS, IN 46202 and the phone number is (317) 962-2594.

Clinical Neuropsychologist with taxonomy code 103G00000X.