DR. ROBERT CLARK PENNELL PHD
NPI 1538102959
Psychologist in Port Orange, FL
NPI Status: Active since June 14, 2006
Contact Information
3959 S NOVA RD
SUITE 5
PORT ORANGE, FL
ZIP 32127
Phone: (386) 761-2390
Fax: (386) 761-3256
- Individual
- Male
- Psychologist
About ROBERT PENNELL
This page provides the complete NPI Profile along with additional information for Robert Pennell, a provider established in Port Orange, Florida with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1538102959 assigned on June 2006. The practitioner's primary taxonomy code is 103T00000X with license number SW3855 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1538102959
- Provider Name
- DR. ROBERT CLARK PENNELL PHD
- Other Name
- DR. R CLARK PENNELL LCSW
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3959 S NOVA RD SUITE 5 PORT ORANGE, FL 32127
- Location Phone
- (386) 761-2390
- Location Fax
- (386) 761-3256
- Mailing Address
- 3959 S NOVA RD SUITE 5 PORT ORANGE, FL 32127
- Mailing Phone
- (386) 761-2390
- Mailing Fax
- (386) 761-3256
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-14-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A psychologist like Robert Pennell 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.
- SW3855
- License State
- FL
- 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) |
|---|
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z6529 | MEDICARE UPIN (02) | FL |
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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 | 5 | 3 | 8 | 1 | 0 | 2 | 9 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 2 | 0 | 4 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 2 + 0 + 4 + 9 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1538102959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801086608 | OPTIONS HOME HEALTH OF NORTH FLORIDA, INC. Organization | Home Health | 3959 S NOVA RD SUITE #34 PORT ORANGE, FL 32127 (954) 993-3117 |
| 1003099516 | COUNSELING ASSOCIATES OF PORT ORANGE, INC. Organization | Counselor (Mental Health) | 3959 S NOVA RD SUITE 5 PORT ORANGE, FL 32127 (386) 761-2390 |
| 1265618672 | HETHER ACCIDENT & INJURY CENTER Organization | Chiropractor | 3959 S NOVA RD SUITE 9B PORT ORANGE, FL 32127 (386) 761-4001 |
| 1629239017 | DR. ADAM ROBERT SAINATO D.C. Individual | Chiropractor | 3959 S NOVA RD SUITE 9 PORT ORANGE, FL 32127 (386) 761-4001 |
| 1801028840 | MS. CHRISTINA MARIE BATES L.M.T. Individual | Mechanotherapist | 3959 S NOVA RD BUILDING A, SUITE 3 MARCELLE MEDICAL EXECUTIVE CENTER PORT ORANGE, FL 32127 (386) 756-3240 |
| 1841423423 | HAIR FREE BY DOLORES Organization | Massage Therapist | 3959 S NOVA RD SUITE 30 PORT ORANGE, FL 32127 (386) 304-3411 |
| 1871893057 | MIAMI PODIATRY LLC Organization | Podiatrist | 3959 S NOVA RD BUILDING B SUITE 25 PORT ORANGE, FL 32127 (786) 277-8612 |
| 1255624326 | ADAM AND OR LORI SAINATO LLC Organization | Chiropractor | 3959 S NOVA RD STE 9 PORT ORANGE, FL 32127 (386) 761-4001 |
| 1215447438 | MOORE & MENNETO CHIROPRACTIC, PLLC Organization | Chiropractor (Sports Physician) | 3959 S NOVA RD STE 9 PORT ORANGE, FL 32127 (386) 202-2714 |
| 1518024942 | ATLANTIC RESPIRATORY SERVICES Organization | Durable Medical Equipment & Medical Supplies | 3959 S NOVA RD SUITE 19 PORT ORANGE, FL 32127 (386) 760-2006 |
| 1306060470 | MAY MONROE GROUP INC. Organization | Home Health | 3959 S NOVA RD SUITE 26 PORT ORANGE, FL 32127 (386) 322-8882 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538102959, enumerated in the NPI registry as an "individual" on June 14, 2006
The provider is located at 3959 S Nova Rd Suite 5 Port Orange, Fl 32127 and the phone number is (386) 761-2390
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 14, 2006. 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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