CARLA VAN DAM PHD
NPI 1548773997
Psychologist - Clinical in Tumwater, WA

NPI Status: Active since November 08, 2017

Contact Information

2620 RW JOHNSON BLVD SW SUITE 204
TUMWATER, WA
ZIP 98501
Phone: (360) 956-0271

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  • Individual
  • Female
  • Psychologist
  • Clinical

About CARLA VAN DAM

This page provides the complete NPI Profile along with additional information for Carla Van Dam, a provider established in Tumwater, Washington with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1548773997 assigned on November 2017. The practitioner's primary taxonomy code is 103TC0700X with license number PY00002218 (WA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1548773997
Provider Name
CARLA VAN DAM PHD
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
2620 RW JOHNSON BLVD SW SUITE 204 TUMWATER, WA 98501
Location Phone
(360) 956-0271
Mailing Address
PO BOX 4453 TUMWATER, WA 98501
Mailing Phone
(360) 956-0271
Is Sole Proprietor?
Yes
Enumeration Date
11-08-2017
Last Update Date
06-16-2018
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A clinical psychologist like Carla Van Dam assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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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

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PY00002218
License State
WA
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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
0364237OTHER (01)WALABOR AND INDUSTRIES

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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.
1548773997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881476918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 4 + 7 + 6 + 9 + 1 + 8 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1548773997 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 1548773997, enumerated in the NPI registry as an "individual" on November 08, 2017

The provider is located at 2620 Rw Johnson Blvd Sw Suite 204 Tumwater, Wa 98501 and the phone number is (360) 956-0271

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

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 November 08, 2017. 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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