ALEXA CONNORS
NPI 1326524794
Psychologist - Clinical Child & Adolescent in Agoura Hills, CA

NPI Status: Active since July 18, 2018

Contact Information

28328 AGOURA RD STE 102
AGOURA HILLS, CA
ZIP 91301
Phone: (818) 900-5939

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  • Individual
  • Female
  • Psychologist
  • Clinical Child & Adolescent
  • Opted-Out Medicare

About ALEXA CONNORS

This page provides the complete NPI Profile along with additional information for Alexa Connors, a provider established in Agoura Hills, California with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1326524794 assigned on July 2018. The practitioner's primary taxonomy code is 103TC2200X with license number 34451 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1326524794
Provider Name
ALEXA CONNORS
Gender
Female
Entity Type
Individual
Location Address
28328 AGOURA RD STE 102 AGOURA HILLS, CA 91301
Location Phone
(818) 900-5939
Mailing Address
28328 AGOURA RD STE 102 AGOURA HILLS, CA 91301
Mailing Phone
(818) 900-5939
Is Sole Proprietor?
No
Enumeration Date
07-18-2018
Last Update Date
08-16-2023
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Alexa Connors opted out of Medicare effective on 12-04-2024 until 12-04-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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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
License No.
34451
License State
CA
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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-04-2024

  • Opt-Out End Date: 12-04-2026

  • Eligible to Order and Refer? No

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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.
1326524794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23461028718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 1 + 0 + 2 + 8 + 7 + 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 1326524794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902152507DR. BETHANY VAUDREY PSYD
Individual
Psychologist (Clinical)28328 AGOURA RD STE 102
AGOURA HILLS, CA 91301
(818) 918-0574
1811564792SUNLIGHT PSYCHOLOGICAL SERVICES
Organization
Psychologist (Clinical Child & Adolescent)28328 AGOURA RD STE 102
AGOURA HILLS, CA 91301
(818) 918-0574
1992376461 SOPHIA RENEE BERGER MA
Individual
Psychologist (Clinical)28328 AGOURA RD STE 102
AGOURA HILLS, CA 91301
(818) 900-5939

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326524794, enumerated in the NPI registry as an "individual" on July 18, 2018

The provider is located at 28328 Agoura Rd Ste 102 Agoura Hills, Ca 91301 and the phone number is (818) 900-5939

The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

No, the provider signed an affidavit on December 04, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 04, 2026.

This NPI record was last updated on July 18, 2018. 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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