DR. JEFFERY J PETERSON PH.D.
NPI 1962491621
Psychologist - Counseling in Tampa, FL

NPI Status: Active since October 17, 2005

Contact Information

11707 CLUB DR
TAMPA MHBS CLINIC / OPC
TAMPA, FL
ZIP 33612
Phone: (813) 631-7121

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  • Individual
  • Male
  • Psychologist
  • Counseling

About JEFFERY PETERSON

This page provides the complete NPI Profile along with additional information for Jeffery Peterson, a provider established in Tampa, Florida with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1962491621 assigned on October 2005. The practitioner's primary taxonomy code is 103TC1900X with license number 1307 (AL). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1962491621
Provider Name
DR. JEFFERY J PETERSON PH.D.
Gender
Male
Entity Type
Individual
Location Address
11707 CLUB DR TAMPA MHBS CLINIC / OPC TAMPA, FL 33612
Location Phone
(813) 631-7121
Mailing Address
11707 CLUB DR TAMPA MHBS CLINIC / OPC TAMPA, FL 33612
Mailing Phone
(813) 631-7121
Is Sole Proprietor?
No
Enumeration Date
10-17-2005
Last Update Date
08-30-2007
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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 Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
1307
License State
AL
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

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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 1962491621, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 8 + 9 + 2 + 6 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1962491621.

Other Providers at the Same Location


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

Nurse Practitioner (Adult Health)
11707 CLUB DR
TAMPA, FL 33612
Psychologist (Clinical)
11707 CLUB DR, MENTAL HEALTH CLINIC
TAMPA, FL 33612
Social Worker (Clinical)
11707 CLUB DR
TAMPA, FL 33612
Social Worker (Clinical)
11707 CLUB DR
TAMPA, FL 33612
Counselor (Addiction (Substance Use Disorder))
11707 CLUB DR, MENTAL HEALTH OUTPATIENT CLINIC
TAMPA, FL 33612
Psychologist (Clinical)
11707 CLUB DR, JAHVA OUTPATIENT CENTER (116B)
TAMPA, FL 33612
Pain Medicine (Pain Medicine)
11707 CLUB DR
TAMPA, FL 33612
Pain Medicine (Pain Medicine)
11707 CLUB DR
TAMPA, FL 33612
Non-Pharmacy Dispensing Site
11707 CLUB DR
TAMPA, FL 33612
Substance Abuse Rehabilitation Facility
11707 CLUB DR
TAMPA, FL 33612
General Practice
11707 CLUB DR
TAMPA, FL 33612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962491621, enumerated as an "individual" on October 17, 2005.

The provider is located at 11707 CLUB DR TAMPA MHBS CLINIC / OPC TAMPA, FL 33612 and the phone number is (813) 631-7121.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.