FAMILIES FORWARD LLC
NPI 1962750869
Psychologist - Clinical Child & Adolescent in Martinez, GA

NPI Status: Active since August 27, 2012

Contact Information

3711 EXECUTIVE CENTER DR
SUITE 101
MARTINEZ, GA
ZIP 30907
Phone: (706) 210-8855
Fax: (678) 541-7699

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About FAMILIES FORWARD LLC

This page provides the complete NPI Profile along with additional information for Families Forward Llc, a provider established in Martinez, Georgia operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1962750869 assigned on August 2012. The practitioner's primary taxonomy code is 103TC2200X with license number PSY003096 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Families Forward 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 Dr. Dara A Delancy Psy.d. (Psychologist)

NPI
1962750869
Provider Name
FAMILIES FORWARD LLC
Entity Type
Organization
Location Address
3711 EXECUTIVE CENTER DR SUITE 101 MARTINEZ, GA 30907
Location Phone
(706) 210-8855
Location Fax
(678) 541-7699
Mailing Address
3711 EXECUTIVE CENTER DR SUITE 101 MARTINEZ, GA 30907
Mailing Phone
(706) 210-8855
Mailing Fax
(678) 541-7699
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2012
Last Update Date
11-07-2012
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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.
PSY003096
License State
GA
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.

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.

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.

*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. DARA A DELANCY PSY.D.

Authorized Official Title
PSYCHOLOGIST
Authorized Official Phone
(706) 210-8855

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
447024026CMEDICAID (05)GA 

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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 1962750869, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 6 → 12 → 3 7 → 14 → 5 0 → 0 6 → 12 → 3

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 + 1 + 4 + 5 + 0 + 8 + 1 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962750869.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Psychologist (Clinical)
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Psychologist (Clinical Child & Adolescent)
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Psychologist (Clinical Child & Adolescent)
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Social Worker
3711 EXECUTIVE CENTER DR, SUITE 201
MARTINEZ, GA 30907
Counselor (Professional)
3711 EXECUTIVE CENTER DR, SUITE 202 OFFICE #3
MARTINEZ, GA 30907
Social Worker (Clinical)
3711 EXECUTIVE CENTER DR, SUITE 202 OFFICE 1
MARTINEZ, GA 30907
Counselor (Professional)
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Counselor (Mental Health)
3711 EXECUTIVE CENTER DR, STE 202 #6
MARTINEZ, GA 30907
Social Worker
3711 EXECUTIVE CENTER DR, SUITE 201
MARTINEZ, GA 30907
Social Worker
3711 EXECUTIVE CENTER DR, SUITE 201
MARTINEZ, GA 30907
Social Worker (Clinical)
3711 EXECUTIVE CENTER DR, SUITE 201
AUGUSTA, GA 30907
Community/Behavioral Health
3711 EXECUTIVE CENTER DR
MARTINEZ, GA 30907
Community/Behavioral Health
3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907
Community/Behavioral Health
3711 EXECUTIVE CENTER DR
MARTINEZ, GA 30907
Counselor (Professional)
3711 EXECUTIVE CENTER DR
AUGUSTA, GA 30907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962750869, enumerated as an "organization" on August 27, 2012.

The provider is located at 3711 EXECUTIVE CENTER DR SUITE 101 MARTINEZ, GA 30907 and the phone number is (706) 210-8855.

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

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