MR. CHAD KRISAK ED.S., LPES, NCSP
NPI 1124437074
Psychologist - School in Charleston, SC

NPI Status: Active since August 05, 2014

Contact Information

2907 STONESTOWN DR
CHARLESTON, SC
ZIP 29414
Phone: (901) 487-7506

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  • Individual
  • Male
  • Psychologist
  • School

About CHAD KRISAK

This page provides the complete NPI Profile along with additional information for Chad Krisak, a provider established in Charleston, South Carolina with a medical specialization in Psychologist, focusing in school . The healthcare provider is registered in the NPI registry with number 1124437074 assigned on August 2014. The practitioner's primary taxonomy code is 103TS0200X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1124437074
Provider Name
MR. CHAD KRISAK ED.S., LPES, NCSP
Gender
Male
Entity Type
Individual
Location Address
2907 STONESTOWN DR CHARLESTON, SC 29414
Location Phone
(901) 487-7506
Mailing Address
2907 STONESTOWN DR CHARLESTON, SC 29414
Mailing Phone
(901) 487-7506
Is Sole Proprietor?
Yes
Enumeration Date
08-05-2014
Last Update Date
06-19-2019
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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 School

Taxonomy Code
103TS0200X
Type
Behavioral Health & Social Service Providers
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

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
1588615918MEDICAID (05)SC 

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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.
1124437074
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21448314014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 8 + 3 + 1 + 4 + 0 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1124437074 is valid because the calculated check digit 4 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 1124437074, enumerated in the NPI registry as an "individual" on August 05, 2014

The provider is located at 2907 Stonestown Dr Charleston, Sc 29414 and the phone number is (901) 487-7506

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

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 August 05, 2014. 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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