SONOMA MEMORY CENTER COMPREHENSIVE PSYCHOLOGY SERVICES PROFESSIONAL CO
NPI 1427362680
Clinical Neuropsychologist in Santa Rosa, CA

NPI Status: Active since July 29, 2010

Contact Information

1111 SONOMA AVE
STE 322
SANTA ROSA, CA
ZIP 95405
Phone: (707) 546-3300
Fax: (415) 457-3819

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  • Organization
  • Clinical Neuropsychologist

About SONOMA MEMORY CENTER COMPREHENSIVE PSYCHOLOGY SERVICES PROFESSIONAL CO

This page provides the complete NPI Profile along with additional information for Sonoma Memory Center Comprehensive Psychology Services Professional Co, a provider established in Santa Rosa, California operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1427362680 assigned on July 2010. The practitioner's primary taxonomy code is 103G00000X with license number PSY13957 (CA). 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. Edgar O Angelone Phd (President)

NPI
1427362680
Provider Name
SONOMA MEMORY CENTER COMPREHENSIVE PSYCHOLOGY SERVICES PROFESSIONAL CO
Entity Type
Organization
Location Address
1111 SONOMA AVE STE 322 SANTA ROSA, CA 95405
Location Phone
(707) 546-3300
Location Fax
(415) 457-3819
Mailing Address
1111 SONOMA AVE STE 322 SANTA ROSA, CA 95405
Mailing Phone
(707) 546-3300
Mailing Fax
(415) 457-3819
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2010
Last Update Date
03-16-2011
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY13957
License State
CA
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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. EDGAR O ANGELONE PHD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(707) 546-3300

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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.
1427362680
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447664616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 6 + 6 + 4 + 6 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427362680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053356618 EMMA SUSAN WILLIAMSON CNM
Individual
Midwife1111 SONOMA AVE STE 316
SANTA ROSA, CA 95405
(707) 575-9167
1508927070SUTTER MEDICAL GROUP OF THE REDWOODS
Organization
Obstetrics & Gynecology1111 SONOMA AVE SUITE 316
SANTA ROSA, CA 95405
(707) 575-9167
1083766331DREW HITTENBERGER AND ASSOCIATES
Organization
Orthotic Fitter1111 SONOMA AVE SUITE 106
SANTA ROSA, CA 95405
(707) 765-1122
1023205713NORTHERN CALIFORNIA MEDICAL ASSOC
Organization
Orthopaedic Surgery (Hand Surgery)1111 SONOMA AVE STE 202
SANTA ROSA, CA 95405
(707) 546-7400
1609056878DR. JIRIES PETER MOGANNAM D.D.S., M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)1111 SONOMA AVE SUITE #220
SANTA ROSA, CA 95405
(707) 566-7300
1508164948BRYAN M. PEREIRA, M.D., P.C.
Organization
Neurological Surgery1111 SONOMA AVE SUITE # 320
SANTA ROSA, CA 95405
(707) 546-3592
1225158884PATRICK G DEVLIN MD A MEDICAL CORPORATION
Organization
Specialist1111 SONOMA AVE SUITE 302
SANTA ROSA, CA 95405
(707) 545-7300
1417044801PETER J MARINCOVICH
Organization
Audiologist1111 SONOMA AVE SUITE 316
SANTA ROSA, CA 95405
(707) 523-4740
1447231055LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory1111 SONOMA AVE
SANTA ROSA, CA 95405
(707) 528-2065
1770995748NORTHERN CALIFORNIA MEDICAL ASSOC INC
Organization
Dermatology1111 SONOMA AVE STE 202
SANTA ROSA, CA 95405
(707) 527-9517
1619980653 BARRY NEIL SILBERG MD
Individual
Plastic Surgery1111 SONOMA AVE SUITE 210
SANTA ROSA, CA 95405
(707) 528-0911
1952603284BARRY NEIL SILBERG, M.D., INC.
Organization
Plastic Surgery1111 SONOMA AVE SUITE 210
SANTA ROSA, CA 95405
(707) 528-0911
1174685895DR. ROBERT EARLE SWEAT M.D.
Individual
Specialist1111 SONOMA AVE SUITE 320
SANTA ROSA, CA 95405
(707) 348-3013
1700312493MS. TINA PAGE AFIFI HA7576
Individual
Hearing Instrument Specialist1111 SONOMA AVE STE 316
SANTA ROSA, CA 95405
(707) 523-4740
1083655252DR. ROGER A KLEIN M.D.
Individual
Orthopaedic Surgery1111 SONOMA AVE SUITE 106
SANTA ROSA, CA 95405
(707) 576-0366
1427138684PAUL V SEJUD DMD PC
Organization
Dentist (Oral and Maxillofacial Surgery)1111 SONOMA AVE #220
SANTA ROSA, CA 95405
(707) 566-7300
1154523447SANTA ROSA CARDIAC IMAGING
Organization
Nuclear Medicine (Nuclear Cardiology)1111 SONOMA AVE SUITE 108
SANTA ROSA, CA 95405
(707) 636-0190
1497782239 CHRIS A KOSAKOWSKI M.D.
Individual
Surgery1111 SONOMA AVE STE 112
SANTA ROSA, CA 95405
(707) 579-5520
1558360479DR. PATRICK DEVLIN MD
Individual
Internal Medicine (Cardiovascular Disease)1111 SONOMA AVE SUITE 302
SANTA ROSA, CA 95405
(707) 545-7300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427362680, enumerated in the NPI registry as an "organization" on July 29, 2010

The provider is located at 1111 Sonoma Ave Ste 322 Santa Rosa, Ca 95405 and the phone number is (707) 546-3300

This medical organization specializes in Clinical Neuropsychologist with taxonomy code 103G00000X

This NPI record was last updated on July 29, 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].
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