DR. JOHNATHAN VITAL PH.D.
NPI 1477810067
Clinical Neuropsychologist in Waldorf, MD
NPI Status: Active since April 19, 2012
Contact Information
2413 ALTENBURG CT
WALDORF, MD
ZIP 20603
Phone: (301) 653-8828
Fax: (202) 558-7113
- Individual
- Male
- Clinical Neuropsychologist
About JOHNATHAN VITAL
This page provides the complete NPI Profile along with additional information for Johnathan Vital, a provider established in Waldorf, Maryland with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1477810067 assigned on April 2012. The practitioner's primary taxonomy code is 103G00000X with license number 04759 (MD). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1477810067
- Provider Name
- DR. JOHNATHAN VITAL PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2413 ALTENBURG CT WALDORF, MD 20603
- Location Phone
- (301) 653-8828
- Location Fax
- (202) 558-7113
- Mailing Address
- 2413 ALTENBURG CT WALDORF, MD 20603
- Mailing Phone
- (301) 653-8828
- Mailing Fax
- (202) 558-7113
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-19-2012
- Last Update Date
- 04-20-2012
- Code Navigator
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
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 04759
- License State
- MD
- 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.
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 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | PSY1000614 (DC) |
| 2 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | PSY1000614 (DC) |
| 3 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 04759 (MD) |
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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 | 4 | 7 | 7 | 8 | 1 | 0 | 0 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 16 | 1 | 0 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 6 + 1 + 0 + 0 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1477810067 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477810067, enumerated in the NPI registry as an "individual" on April 19, 2012
The provider is located at 2413 Altenburg Ct Waldorf, Md 20603 and the phone number is (301) 653-8828
The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X
This NPI record was last updated on April 19, 2012. 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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