21 VETS INCORPORATED
NPI 1063022317
Psychologist - Cognitive & Behavioral in Melbourne, FL

NPI Status: Active since August 03, 2020

Contact Information

4908 FAUNA DR
MELBOURNE, FL
ZIP 32934
Phone: (703) 309-7417

Get Directions Reviews

  • Organization
  • Psychologist
  • Cognitive & Behavioral

About 21 VETS INCORPORATED

This page provides the complete NPI Profile along with additional information for 21 Vets Incorporated, a provider established in Melbourne, Florida operating as a Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1063022317 assigned on August 2020. The practitioner's primary taxonomy code is 103TB0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. 21 Vets Incorporated operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Daniel J Pippin (President)

NPI
1063022317
Provider Name
21 VETS INCORPORATED
Entity Type
Organization
Location Address
4908 FAUNA DR MELBOURNE, FL 32934
Location Phone
(703) 309-7417
Mailing Address
4908 FAUNA DR MELBOURNE, FL 32934
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2020
Last Update Date
08-03-2020
Code Navigator

Location Map

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 Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3163WP0809XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health, Adult

 

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

DANIEL J PIPPIN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 309-7417

Reviews for 21 VETS INCORPORATED

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063022317
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012302432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 0 + 2 + 4 + 3 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1063022317 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063022317, enumerated in the NPI registry as an "organization" on August 03, 2020

The provider is located at 4908 Fauna Dr Melbourne, Fl 32934 and the phone number is (703) 309-7417

This medical organization specializes in Psychologist with taxonomy code 103TB0200X with a focus in Cognitive & Behavioral

This NPI record was last updated on August 03, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.