RICHARD JACKSON
NPI 1124240197
Psychologist - Rehabilitation in Syracuse, UT

NPI Status: Active since May 02, 2007

Contact Information

2650 WEST 2700 SOUTH
SYRACUSE, UT
ZIP 84075
Phone: (801) 773-0200

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  • Individual
  • Male
  • Psychologist
  • Rehabilitation

About RICHARD JACKSON

This page provides the complete NPI Profile along with additional information for Richard Jackson, a provider established in Syracuse, Utah with a medical specialization in Psychologist, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1124240197 assigned on May 2007. The practitioner's primary taxonomy code is 103TR0400X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1124240197
Provider Name
RICHARD JACKSON
Gender
Male
Entity Type
Individual
Location Address
2650 WEST 2700 SOUTH SYRACUSE, UT 84075
Location Phone
(801) 773-0200
Mailing Address
2650 WEST 2700 SOUTH SYRACUSE, UT 84075
Is Sole Proprietor?
Yes
Enumeration Date
05-02-2007
Last Update Date
07-08-2007
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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 Rehabilitation

Taxonomy Code
103TR0400X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

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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.
1124240197
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144440118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 4 + 4 + 0 + 1 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1124240197 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114148459MS. FRANKIE LYNN DAVIS APRN, FNP-C
Individual
Nurse Practitioner (Family)2650 WEST 2700 SOUTH
SYRACUSE,, UT 84075
(801) 773-0200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124240197, enumerated in the NPI registry as an "individual" on May 02, 2007

The provider is located at 2650 West 2700 South Syracuse, Ut 84075 and the phone number is (801) 773-0200

The provider's speciality is Psychologist with taxonomy code 103TR0400X with a focus in Rehabilitation

This NPI record was last updated on May 02, 2007. 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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