SPECTRUM TRANSFORMATION GROUP, LLC
NPI 1174855985
Psychologist - Cognitive & Behavioral in North Chesterfield, VA

NPI Status: Active since February 03, 2010

Contact Information

221 STONEBRIDGE PLAZA AVE STE C
NORTH CHESTERFIELD, VA
ZIP 23225
Phone: (804) 378-6141

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  • Organization
  • Psychologist
  • Cognitive & Behavioral

About SPECTRUM TRANSFORMATION GROUP, LLC

This page provides the complete NPI Profile along with additional information for Spectrum Transformation Group, Llc, a provider established in North Chesterfield, Virginia operating as a Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1174855985 assigned on February 2010. The practitioner's primary taxonomy code is 103TB0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Spectrum Transformation Group, 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 Mr. Cedric Moore Jr. Mba (Chief Executive Officer)

NPI
1174855985
Provider Name
SPECTRUM TRANSFORMATION GROUP, LLC
Entity Type
Organization
Location Address
221 STONEBRIDGE PLAZA AVE STE C NORTH CHESTERFIELD, VA 23225
Location Phone
(804) 378-6141
Mailing Address
221 STONEBRIDGE PLAZA AVE STE C NORTH CHESTERFIELD, VA 23225
Mailing Phone
(804) 378-6141
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2010
Last Update Date
11-17-2020
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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 Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

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)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 
2103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

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

MR. CEDRIC MOORE JR. MBA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(804) 317-4307

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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.
1174855985
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114416510916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 5 + 1 + 0 + 9 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1174855985 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639560741SPECTRUM TRANSFORMATION GROUP, LLC
Organization
Behavior Analyst221 STONEBRIDGE PLAZA AVE STE C
NORTH CHESTERFIELD, VA 23225
(804) 378-6141
1952198707 KASEY DANIEL O'NEILL BCBA, LBA
Individual
Behavior Analyst221 STONEBRIDGE PLAZA AVE STE C
NORTH CHESTERFIELD, VA 23225
(804) 378-6141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174855985, enumerated in the NPI registry as an "organization" on February 03, 2010

The provider is located at 221 Stonebridge Plaza Ave Ste C North Chesterfield, Va 23225 and the phone number is (804) 378-6141

This medical organization specializes in Psychologist with taxonomy code 103TB0200X with a focus in Cognitive & Behavioral

This NPI record was last updated on February 03, 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].
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.