REBECCA COMIRE WILCOX MED, MS, CAS
NPI 1104216951
Psychologist - School in Fleming Island, FL

NPI Status: Active since February 02, 2015

Contact Information

286 EVENTIDE DR
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 624-0882

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  • Individual
  • Female
  • Psychologist
  • School

About REBECCA WILCOX

This page provides the complete NPI Profile along with additional information for Rebecca Wilcox, a provider established in Fleming Island, Florida with a medical specialization in Psychologist, focusing in school . The healthcare provider is registered in the NPI registry with number 1104216951 assigned on February 2015. The practitioner's primary taxonomy code is 103TS0200X with license number 10279824 (IN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1104216951
Provider Name
REBECCA COMIRE WILCOX MED, MS, CAS
Gender
Female
Entity Type
Individual
Location Address
286 EVENTIDE DR FLEMING ISLAND, FL 32003
Location Phone
(904) 624-0882
Mailing Address
286 EVENTIDE DR FLEMING ISLAND, FL 32003
Mailing Phone
(904) 624-0882
Is Sole Proprietor?
No
Enumeration Date
02-02-2015
Last Update Date
02-21-2025
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Location Map

Secondary Locations

  • 1311 Goldie St Suite A
    Kill Devil Hills, NC 27948
    (252) 722-3308
  • 1389 Saint Gaspar Dr W
    Rensselaer, IN 47978
    (219) 866-8540

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 School

Taxonomy Code
103TS0200X
Type
Behavioral Health & Social Service Providers
License No.
10279824
License State
IN
Taxonomy Description
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

A10449 (NC)
2103TS0200XBehavioral Health & Social Service Providers

Psychologist
School

SS1330 (FL)
3103TS0200XBehavioral Health & Social Service Providers

Psychologist
School

PPS-0601178 (VA)

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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.
1104216951
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21044112910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 4 + 1 + 1 + 2 + 9 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1104216951 is valid because the calculated check digit 1 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 1104216951, enumerated in the NPI registry as an "individual" on February 02, 2015

The provider is located at 286 Eventide Dr Fleming Island, Fl 32003 and the phone number is (904) 624-0882

The provider's speciality is Psychologist with taxonomy code 103TS0200X with a focus in School

This NPI record was last updated on February 02, 2015. 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].
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