DR. CHARLES ROBERT RIDLEY PH.D.
NPI 1386010676
Psychologist in Bryan, TX
NPI Status: Active since August 20, 2015
Contact Information
3201 UNIVERSITY DR E
SUITE 200
BRYAN, TX
ZIP 77802
Phone: (812) 340-1714
- Individual
- Male
- Psychologist
- CLIA Number: 45D0970063
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-02-2026
About CHARLES RIDLEY
This page provides the complete NPI Profile along with additional information for Charles Ridley, a provider established in Bryan, Texas with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1386010676 assigned on August 2015. The practitioner's primary taxonomy code is 103T00000X with license number 37060 (TX). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1386010676
- Provider Name
- DR. CHARLES ROBERT RIDLEY PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3201 UNIVERSITY DR E SUITE 200 BRYAN, TX 77802
- Location Phone
- (812) 340-1714
- Mailing Address
- 3201 UNIVERSITY DR E SUITE 200 BRYAN, TX 77802
- Mailing Phone
- (812) 340-1714
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-20-2015
- Last Update Date
- 08-20-2015
- Code Navigator
A psychologist like Charles Ridley studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
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
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 37060
- License State
- TX
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 20041066A (IN) |
| 2 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | PSY9586 (CA) |
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
- 45D0970063
- Facility Type
- Physician Office
- Certificate Effective Date
- February 03, 2024
- Certificate Expiration Date
- February 02, 2026
- Laboratory Director
- CHARLES K. PEIRCE MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Charles Ridley in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 3 | 8 | 6 | 0 | 1 | 0 | 6 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 0 | 1 | 0 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 0 + 1 + 0 + 6 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1386010676 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508863564 | CHOICE HEALTH SERVICES, INC. Organization | Home Health | 3201 UNIVERSITY DR E SUITE 475 BRYAN, TX 77802 (979) 774-5451 |
| 1306846084 | NOLAN DANIEL SHIPMAN M.D. Individual | Otolaryngology | 3201 UNIVERSITY DR E SUITE 375 BRYAN, TX 77802 (979) 731-8284 |
| 1427026152 | GEORGE A RICHARDSON MD Individual | Orthopaedic Surgery | 3201 UNIVERSITY DR E SUITE 255 BRYAN, TX 77802 (979) 774-0411 |
| 1861440265 | DR. KAREN L CARLSON PH.D. Individual | Psychologist (Counseling) | 3201 UNIVERSITY DR E SUITE 200 BRYAN, TX 77802 (979) 268-7914 |
| 1659329381 | DR. PAMELA BURRI GROSSMAN PH.D. Individual | Psychologist (Clinical Child & Adolescent) | 3201 UNIVERSITY DR E SUITE 200 BRYAN, TX 77802 (979) 268-7776 |
| 1740238450 | NANCY A SCHEINOST M.D., P.A. Individual | Internal Medicine (Rheumatology) | 3201 UNIVERSITY DR E SUITE 205 BRYAN, TX 77802 (979) 774-7896 |
| 1518915222 | NANCY A. SCHEINOST, M.D., P.A. Organization | Internal Medicine (Rheumatology) | 3201 UNIVERSITY DR E SUITE 205 BRYAN, TX 77802 (979) 774-7896 |
| 1487605523 | CHOICE HEALTH SERVICES INC DBA Organization | Durable Medical Equipment & Medical Supplies | 3201 UNIVERSITY DR E SUITE 475 BRYAN, TX 77802 (979) 774-5451 |
| 1306862008 | MRS. NANCY K PRICE L.P.C. Individual | Counselor (Mental Health) | 3201 UNIVERSITY DR E SUITE 200 BRYAN, TX 77802 (979) 268-7776 |
| 1396768347 | DR. MARK JULIUS FLORIAN M.D. Individual | Internal Medicine | 3201 UNIVERSITY DR E SUITE 345 BRYAN, TX 77802 (979) 731-8465 |
| 1891703583 | NANCY LESLIE PHD & ASSOCIATES IN MEDICAL PSYCHOLOGY, PC Organization | Clinical Neuropsychologist | 3201 UNIVERSITY DR E SUITE 420 BRYAN, TX 77802 (979) 774-1000 |
| 1467566612 | JOSEPH HLAVIN P.A. Individual | Physician Assistant | 3201 UNIVERSITY DR E STE 410 BRYAN, TX 77802 (979) 776-8896 |
| 1801900899 | RJMTZ PHARMACY LLC Organization | Pharmacy (Community/Retail Pharmacy) | 3201 UNIVERSITY DR E SUITE 145 BRYAN, TX 77802 (979) 776-0902 |
| 1699884742 | DR. LINDA S PRICE MD Individual | Internal Medicine | 3201 UNIVERSITY DR E SUITE 210 BRYAN, TX 77802 (979) 731-8007 |
| 1033207618 | CHARLES K. PEIRCE, M.D., P.A. Organization | Urology | 3201 UNIVERSITY DR E SUITE 440 BRYAN, TX 77802 (979) 731-8660 |
| 1720161821 | DR. SAMUEL HILLS HARRISON M.D. Individual | Urology | 3201 UNIVERSITY DR E SUITE 370 BRYAN, TX 77802 (979) 731-8660 |
| 1205905494 | C MARK CAPISTRANO MD Individual | Internal Medicine (Hematology & Oncology) | 3201 UNIVERSITY DR E SUITE 250 BRYAN, TX 77802 (979) 731-8558 |
| 1104982537 | THOMAS A GINN MDPA Organization | Specialist | 3201 UNIVERSITY DR E SUITE 345 BRYAN, TX 77802 (979) 776-5120 |
| 1649461187 | DIAGNOSTIC FOOT SPECIALISTS Organization | Podiatrist (Foot & Ankle Surgery) | 3201 UNIVERSITY DR E STE. 115 BRYAN, TX 77802 (979) 696-4080 |
| 1497944664 | MARK J FLORIAN MD PA Organization | Internal Medicine | 3201 UNIVERSITY DR E SUITE 345 BRYAN, TX 77802 (979) 731-8465 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386010676, enumerated in the NPI registry as an "individual" on August 20, 2015
The provider is located at 3201 University Dr E Suite 200 Bryan, Tx 77802 and the phone number is (812) 340-1714
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider's CLIA number is 45D0970063 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 20, 2015. 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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