KELLY T PHAM
NPI 1114231669
Psychologist - Clinical in Modesto, CA
NPI Status: Active since July 27, 2010
Contact Information
1015 12TH ST STE 2
MODESTO, CA
ZIP 95354
Phone: (209) 496-2327
- Individual
- Female
- Psychologist
- Clinical
About KELLY PHAM
This page provides the complete NPI Profile along with additional information for Kelly Pham, a provider established in Modesto, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1114231669 assigned on July 2010. The practitioner's primary taxonomy code is 103TC0700X with license number PSY29070 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1114231669
- Provider Name
- KELLY T PHAM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1015 12TH ST STE 2 MODESTO, CA 95354
- Location Phone
- (209) 496-2327
- Mailing Address
- 1015 12TH ST STE 2 MODESTO, CA 95354
- Mailing Phone
- (209) 496-2327
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-27-2010
- Last Update Date
- 01-22-2023
- Code Navigator
A clinical psychologist like Kelly Pham assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
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 Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY29070
- License State
- CA
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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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. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 3 | 1 | 6 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 3 | 2 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 3 + 2 + 6 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1114231669 is valid because the calculated check digit 9 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 1114231669, enumerated in the NPI registry as an "individual" on July 27, 2010
The provider is located at 1015 12th St Ste 2 Modesto, Ca 95354 and the phone number is (209) 496-2327
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
This NPI record was last updated on July 27, 2010. 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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