MOUNTAIN PEDIATRIC PSYCHOLOGY INC
NPI 1174289144
Psychologist - Clinical Child & Adolescent in Park City, UT

NPI Status: Active since November 13, 2021

Contact Information

3361 BUCKBOARD DR
PARK CITY, UT
ZIP 84098
Phone: (435) 200-3083

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About MOUNTAIN PEDIATRIC PSYCHOLOGY INC

This page provides the complete NPI Profile along with additional information for Mountain Pediatric Psychology Inc, a provider established in Park City, Utah operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1174289144 assigned on November 2021. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Mountain Pediatric Psychology Inc 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. Jessica Robnett Psyd (Executive Director)

NPI
1174289144
Provider Name
MOUNTAIN PEDIATRIC PSYCHOLOGY INC
Entity Type
Organization
Location Address
3361 BUCKBOARD DR PARK CITY, UT 84098
Location Phone
(435) 200-3083
Mailing Address
3361 BUCKBOARD DR PARK CITY, UT 84098
Mailing Phone
(435) 200-3083
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2021
Last Update Date
11-13-2021
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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 Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
3103TH0004XBehavioral Health & Social Service Providers

Psychologist
Health

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JESSICA ROBNETT PSYD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(435) 200-3083

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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.
1174289144
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144481818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 8 + 1 + 8 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1174289144 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 1174289144, enumerated in the NPI registry as an "organization" on November 13, 2021

The provider is located at 3361 Buckboard Dr Park City, Ut 84098 and the phone number is (435) 200-3083

This medical organization specializes in Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

This NPI record was last updated on November 13, 2021. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.