KIDS CENTRAL OF THE CAROLINAS, LLC
NPI 1952406845
Psychologist in Charlotte, NC

NPI Status: Active since September 14, 2006

Contact Information

4722 PARK RD
CHARLOTTE, NC
ZIP 28209
Phone: (704) 369-2502
Fax: (704) 688-2961

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  • Organization
  • Psychologist

About KIDS CENTRAL OF THE CAROLINAS, LLC

This page provides the complete NPI Profile along with additional information for Kids Central Of The Carolinas, Llc, a provider established in Charlotte, North Carolina operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1952406845 assigned on September 2006. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 10 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. Kamilah Mcphail Mckissick Psy. D. (Clinical Director / Licensed Psycol)

NPI
1952406845
Provider Name
KIDS CENTRAL OF THE CAROLINAS, LLC
Entity Type
Organization
Location Address
4722 PARK RD CHARLOTTE, NC 28209
Location Phone
(704) 369-2502
Location Fax
(704) 688-2961
Mailing Address
617 N. SUMMIT AVE CHARLOTTE, NC 28216
Mailing Phone
(704) 369-2502
Mailing Fax
(704) 688-2961
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2006
Last Update Date
11-15-2016
Code Navigator

A psychologist like Kids Central Of The Carolinas, Llc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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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

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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.

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

DR. KAMILAH MCPHAIL MCKISSICK PSY. D.

Authorized Official Title
CLINICAL DIRECTOR / LICENSED PSYCOL
Authorized Official Phone
(980) 214-4281

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
6005230MEDICAID (05)NC 
2347538MEDICARE ID-TYPE UNSPECIFIED (04)NC 
016N5OTHER (01)NCBCBSNC

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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 1952406845, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 5 → 10 → 1 4 → 8 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 8 + 0 + 1 + 2 + 8 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1952406845.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952406845, enumerated as an "organization" on September 14, 2006.

The provider is located at 4722 PARK RD CHARLOTTE, NC 28209 and the phone number is (704) 369-2502.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.