BEHAVIORAL RESEARCH SPECIALISTS, LLC
NPI 1235408089
Psychologist - Prescribing (Medical) in Glendale, CA

NPI Status: Active since December 23, 2011

Contact Information

230 N. MARYLAND AVE
#309
GLENDALE, CA
ZIP 91206
Phone: (818) 524-0000
Fax: (818) 255-7744

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  • Organization
  • Psychologist
  • Prescribing (Medical)
  • CLIA Number: 05D1057984
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-02-2025

About BEHAVIORAL RESEARCH SPECIALISTS, LLC

This page provides the complete NPI Profile along with additional information for Behavioral Research Specialists, Llc, a provider established in Glendale, California operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1235408089 assigned on December 2011. The practitioner's primary taxonomy code is 103TP0016X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jesse Carr Md (Medical Director)

NPI
1235408089
Provider Name
BEHAVIORAL RESEARCH SPECIALISTS, LLC
Entity Type
Organization
Location Address
230 N. MARYLAND AVE #309 GLENDALE, CA 91206
Location Phone
(818) 524-0000
Location Fax
(818) 255-7744
Mailing Address
115 W. CALIFORNIA BLVD #194 PASADENA, CA 91105
Mailing Phone
(818) 524-0000
Mailing Fax
(818) 255-7744
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2011
Last Update Date
12-23-2011
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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 Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
License State
CA
Taxonomy Description
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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. JESSE CARR MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(818) 524-0000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1057984
Facility Type
Physician Office
Certificate Effective Date
July 03, 2023
Certificate Expiration Date
July 02, 2025
Laboratory Director
JESSE M. CARR MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Behavioral Research Specialists, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1235408089
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22658016016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 8 + 0 + 1 + 6 + 0 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1235408089 is valid because the calculated check digit 9 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 1235408089, enumerated in the NPI registry as an "organization" on December 23, 2011

The provider is located at 230 N. Maryland Ave #309 Glendale, Ca 91206 and the phone number is (818) 524-0000

This medical organization specializes in Psychologist with taxonomy code 103TP0016X with a focus in Prescribing (Medical)

The provider's CLIA number is 05D1057984 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 23, 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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