AUTHENTIC CONNECTIONS PSYCHOTHERAPY, INC.
NPI 1255084745
Psychologist - Clinical in Truckee, CA

NPI Status: Active since February 03, 2022

Contact Information

10368 DONNER PASS RD
TRUCKEE, CA
ZIP 96161
Phone: (530) 536-0663

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  • Organization
  • Psychologist
  • Clinical

About AUTHENTIC CONNECTIONS PSYCHOTHERAPY, INC.

This page provides the complete NPI Profile along with additional information for Authentic Connections Psychotherapy, Inc., a provider established in Truckee, California operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1255084745 assigned on February 2022. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 4 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 Perrine Portillo Psy.d (President)

NPI
1255084745
Provider Name
AUTHENTIC CONNECTIONS PSYCHOTHERAPY, INC.
Entity Type
Organization
Location Address
10368 DONNER PASS RD TRUCKEE, CA 96161
Location Phone
(530) 536-0663
Mailing Address
11260 DONNER PASS RD. STE C1 PMB 635 TRUCKEE, CA 96161
Mailing Phone
(530) 536-0663
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2022
Last Update Date
02-03-2022
Code Navigator

A clinical psychologist like Authentic Connections Psychotherapy, Inc. 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.

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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

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
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 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

PERRINE PORTILLO PSY.D

Authorized Official Title
PRESIDENT
Authorized Official Phone
(530) 536-0663

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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.
1255084745
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210508878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 0 + 8 + 8 + 7 + 8 + 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 1255084745 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548564024MS. MICHELLE TURLEY L.AC, MTCM
Individual
Acupuncturist10368 DONNER PASS RD
TRUCKEE, CA 96161
(530) 386-0597
1023486958 PERRINE PORTILLO PSY.D
Individual
Psychologist (Clinical)10368 DONNER PASS RD
TRUCKEE, CA 96161
(530) 536-0663
1740579754DR. KIRSTEN K. MACKEY D.O.
Individual
Family Medicine10368 DONNER PASS RD
TRUCKEE, CA 96161
(530) 213-0709
1619613031RESONATE INDIVIDUAL AND FAMILY THERAPY
Organization
Marriage & Family Therapist10368 DONNER PASS RD
TRUCKEE, CA 96161
(925) 658-8367
1366296600TAHOE TRUCKEE ADVANCED PSYCHIATRIC NURSING A PROFESSIONAL CORPORATION
Organization
Nurse Practitioner (Psychiatric/Mental Health)10368 DONNER PASS RD
TRUCKEE, CA 96161
(775) 298-1118
1730547951 KRISTIN O'CONNOR LCSW
Individual
Social Worker (Clinical)10368 DONNER PASS RD
TRUCKEE, CA 96161
(530) 580-8496

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255084745, enumerated in the NPI registry as an "organization" on February 03, 2022

The provider is located at 10368 Donner Pass Rd Truckee, Ca 96161 and the phone number is (530) 536-0663

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on February 03, 2022. 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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