PATH NEUROPSYCHOLOGY, LLC
NPI 1427763945
Clinical Neuropsychologist in Fairfield, OH

NPI Status: Active since January 18, 2023

Contact Information

2812 MACK RD
FAIRFIELD, OH
ZIP 45014
Phone: (513) 429-9886

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  • Organization
  • Clinical Neuropsychologist

About PATH NEUROPSYCHOLOGY, LLC

This page provides the complete NPI Profile along with additional information for Path Neuropsychology, Llc, a provider established in Fairfield, Ohio operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1427763945 assigned on January 2023. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an organization and their NPI record was last updated 2 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. Shawna Jacob Phd (Clinical Psychologist)

NPI
1427763945
Provider Name
PATH NEUROPSYCHOLOGY, LLC
Entity Type
Organization
Location Address
2812 MACK RD FAIRFIELD, OH 45014
Location Phone
(513) 429-9886
Mailing Address
2812 MACK RD FAIRFIELD, OH 45014
Mailing Phone
(513) 813-5327
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2023
Last Update Date
03-22-2023
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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
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. SHAWNA JACOB PHD

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(513) 813-5327

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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.
1427763945
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447146698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 4 + 6 + 6 + 9 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1427763945 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740506054DR. AGILA RANGARAJAN PSY.D.
Individual
Psychologist (Clinical)2812 MACK RD
FAIRFIELD, OH 45014
(773) 270-0565
1962945352DR. RACHEL SPARN PSY.D.
Individual
Psychologist (Clinical)2812 MACK RD
FAIRFIELD, OH 45014
(716) 572-3076
1295273340DR. MICHELLE M. KILCOYNE PH.D.
Individual
Psychologist (Clinical)2812 MACK RD
FAIRFIELD, OH 45014
(513) 874-4530
1407355266DR. CHANA CRYSTAL PSYD
Individual
Psychologist2812 MACK RD
FAIRFIELD, OH 45014
(513) 666-0816
1669900312MICHELLE M. KILCOYNE, PH.D., LLC
Organization
Psychologist (Clinical)2812 MACK RD
FAIRFIELD, OH 45014
(513) 289-1092
1992438576ELITE COMFORT HOME CARE LLC
Organization
Home Health2812 MACK RD
FAIRFIELD, OH 45014
(513) 540-4774
1104485929 SHAWNA JACOB PHD
Individual
Clinical Neuropsychologist2812 MACK RD
FAIRFIELD, OH 45014
(513) 813-5327

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427763945, enumerated in the NPI registry as an "organization" on January 18, 2023

The provider is located at 2812 Mack Rd Fairfield, Oh 45014 and the phone number is (513) 429-9886

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

This NPI record was last updated on January 18, 2023. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.