HOLISTIC ATHLETE LLC
NPI 1932834926
Psychologist - Exercise & Sports in Middlefield, CT

NPI Status: Active since July 22, 2022

Contact Information

24B ROSEMARY LN
MIDDLEFIELD, CT
ZIP 06455
Phone: (860) 877-6093

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  • Organization
  • Psychologist
  • Exercise & Sports

About HOLISTIC ATHLETE LLC

This page provides the complete NPI Profile along with additional information for Holistic Athlete Llc, a provider established in Middlefield, Connecticut operating as a Psychologist, focusing in exercise & sports . The healthcare provider is registered in the NPI registry with number 1932834926 assigned on July 2022. The practitioner's primary taxonomy code is 103TE1100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Holistic Athlete Llc 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 Zachary Etter Lpc Cmpc (Ceo)

NPI
1932834926
Provider Name
HOLISTIC ATHLETE LLC
Entity Type
Organization
Location Address
24B ROSEMARY LN MIDDLEFIELD, CT 06455
Location Phone
(860) 877-6093
Mailing Address
24B ROSEMARY LN MIDDLEFIELD, CT 06455
Mailing Phone
(860) 877-6093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2022
Last Update Date
07-22-2022
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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 Exercise & Sports

Taxonomy Code
103TE1100X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.

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)
1103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

 

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

ZACHARY ETTER LPC CMPC

Authorized Official Title
CEO
Authorized Official Phone
(860) 877-6093

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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 1932834926, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
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 3 → 6 8 → 16 → 7 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 6 + 2 + 1 + 6 + 3 + 8 + 9 + 4 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1932834926.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932834926, enumerated as an "organization" on July 22, 2022.

The provider is located at 24B ROSEMARY LN MIDDLEFIELD, CT 06455 and the phone number is (860) 877-6093.

Psychologist with taxonomy code 103TE1100X and a focus in Exercise & Sports.