CORCAIR PYSCHOLOGICAL SERVICES, LLC
NPI 1124310727
Psychologist - Clinical in Decatur, GA
NPI Status: Active since May 14, 2011
Contact Information
235 E PONCE DE LEON AVE
SUITE 110
DECATUR, GA
ZIP 30030
Phone: (404) 542-5287
Fax: (888) 485-5215
- Organization
- Psychologist
- Clinical
About CORCAIR PYSCHOLOGICAL SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Corcair Pyschological Services, Llc, a provider established in Decatur, Georgia operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1124310727 assigned on May 2011. The practitioner's primary taxonomy code is 103TC0700X with license number PSY003030 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Corcair Pyschological Services, Llc 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 Dr. Jill C Anderson Psyd (Owner)
- NPI
- 1124310727
- Provider Name
- CORCAIR PYSCHOLOGICAL SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 235 E PONCE DE LEON AVE SUITE 110 DECATUR, GA 30030
- Location Phone
- (404) 542-5287
- Location Fax
- (888) 485-5215
- Mailing Address
- 235 E PONCE DE LEON AVE SUITE 110 DECATUR, GA 30030
- Mailing Phone
- (404) 542-5287
- Mailing Fax
- (888) 485-5215
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2011
- Last Update Date
- 05-14-2011
- Code Navigator
A clinical psychologist like Corcair Pyschological Services, Llc 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.
- PSY003030
- License State
- GA
- 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.
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.
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 |
|---|---|---|---|
| 003101292A | MEDICAID (05) | GA |
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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 | 2 | 4 | 3 | 1 | 0 | 7 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 6 | 1 | 0 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 6 + 1 + 0 + 7 + 4 + 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 = 7 | 7 | ||||||||
The NPI number 1124310727 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366469348 | ANGELA OLIVER BATTLE L.C.S.W. Individual | Social Worker (Clinical) | 235 E PONCE DE LEON AVE SUITE 225 DECATUR, GA 30030 (404) 974-2550 |
| 1609057645 | DR. ERIIDINA LIIZA OJIIWAWH D.C. Individual | Chiropractor | 235 E PONCE DE LEON AVE SUITE 109 DECATUR, GA 30030 (404) 826-2819 |
| 1376724278 | SHELIA TAJUAN PAYTON DC Individual | Chiropractor | 235 E PONCE DE LEON AVE STE 109 DECATUR, GA 30030 (404) 826-1425 |
| 1356676837 | ONESPIRIT CHIROPRACTIC & WELLLNESS CENTER, PC Organization | Chiropractor | 235 E PONCE DE LEON AVE SUITE 109 DECATUR, GA 30030 (404) 826-2819 |
| 1700195344 | EXTRAORDINARY BEHAVIORAL SERVICES Organization | Community/Behavioral Health | 235 E PONCE DE LEON AVE DECATUR, GA 30030 (678) 221-8494 |
| 1538461835 | GEORGIA A HERRERA D.C. Individual | Chiropractor | 235 E PONCE DE LEON AVE 308 DECATUR, GA 30030 (404) 542-6080 |
| 1720381544 | ALISON BROOKE WILLIAMS LCSW Individual | Social Worker (Clinical) | 235 E PONCE DE LEON AVE STE 110 DECATUR, GA 30030 (706) 280-6505 |
| 1750649513 | KARRION D LALOR LPC Individual | Counselor (Professional) | 235 E PONCE DE LEON AVE SUITE 303 DECATUR, GA 30030 (404) 482-3538 |
| 1053592188 | DR. KARI L. DIANICH D.C. Individual | Chiropractor | 235 E PONCE DE LEON AVE SUITE 308 DECATUR, GA 30030 (404) 371-8595 |
| 1225484405 | SERENITY NOW HEALTHCARE, LLC Organization | Social Worker (Clinical) | 235 E PONCE DE LEON AVE 108 DECATUR, GA 30030 (404) 270-9635 |
| 1417347394 | VENERABLE COUNSELING SERVICES Organization | Community/Behavioral Health | 235 E PONCE DE LEON AVE SUITE 305 DECATUR, GA 30030 (770) 905-1291 |
| 1902296924 | GAIL VENERABLE LPC/CADC-II/ICADC Individual | Counselor (Professional) | 235 E PONCE DE LEON AVE SUITE 305 DECATUR, GA 30030 (770) 905-1291 |
| 1831641687 | ASHITA FERRAO Individual | Physical Therapist | 235 E PONCE DE LEON AVE SUITE 160 DECATUR, GA 30030 (404) 377-9107 |
| 1568665156 | SOUTHERN WOMEN'S HOUSING ALLIANCE, INC Organization | Case Management | 235 E PONCE DE LEON AVE SUITE 225 DECATUR, GA 30030 (404) 377-7677 |
| 1164431193 | MANDISA JONES PT Individual | Physical Therapist | 235 E PONCE DE LEON AVE SUITE 160 DECATUR, GA 30030 (404) 377-9107 |
| 1730120247 | JONES PT PHYSICAL THERAPY AND PHYSICAL TRAINING Organization | Physical Therapist | 235 E PONCE DE LEON AVE DECATUR, GA 30030 (404) 377-9107 |
| 1770264137 | AMBER KELLY ROBINSON MSW Individual | Counselor | 235 E PONCE DE LEON AVE DECATUR, GA 30030 (770) 688-4319 |
| 1073358511 | SAMARIA DAVIS MSN, FNP-C Individual | Nurse Practitioner (Family) | 235 E PONCE DE LEON AVE DECATUR, GA 30030 (404) 300-3491 |
| 1033941331 | MARLAYNE WHITLOCK LPC Individual | Counselor (Professional) | 235 E PONCE DE LEON AVE DECATUR, GA 30030 (678) 463-4009 |
| 1881421279 | REECE FOX Individual | Social Worker (Clinical) | 235 E PONCE DE LEON AVE DECATUR, GA 30030 (404) 436-0947 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124310727, enumerated in the NPI registry as an "organization" on May 14, 2011
The provider is located at 235 E Ponce De Leon Ave Suite 110 Decatur, Ga 30030 and the phone number is (404) 542-5287
This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 14, 2011. 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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