PSYCHOLOGICAL RESOURCES GROUP
NPI 1639232556
Psychologist - Clinical Child & Adolescent in Woodbury, MN

NPI Status: Active since December 19, 2006

Contact Information

8490 WOODBURY XING
STE 107
WOODBURY, MN
ZIP 55125
Phone: (612) 481-1600
Fax: (651) 731-6345

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About PSYCHOLOGICAL RESOURCES GROUP

This page provides the complete NPI Profile along with additional information for Psychological Resources Group, a provider established in Woodbury, Minnesota operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1639232556 assigned on December 2006. The practitioner's primary taxonomy code is 103TC2200X with license number LP2150 (MN). The provider is registered as an organization and their NPI record was last updated 17 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 provider's is doing business as Psychological Resources Group. The authorized official of this NPI record is Mr. James Thomas Richardson M.s., L.p. (Owner)

NPI
1639232556
Provider Legal Name
JAMES THOMAS RICHARDSON
Other Organization Name
PSYCHOLOGICAL RESOURCES GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8490 WOODBURY XING STE 107 WOODBURY, MN 55125
Location Phone
(612) 481-1600
Location Fax
(651) 731-6345
Mailing Address
8490 WOODBURY XING STE 107 WOODBURY, MN 55125
Mailing Phone
(612) 481-1600
Mailing Fax
(651) 731-6345
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2006
Last Update Date
07-30-2008
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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 Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
LP2150
License State
MN
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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.

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.

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

MR. JAMES THOMAS RICHARDSON M.S., L.P.

Authorized Official Title
OWNER
Authorized Official Phone
(612) 481-1600

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
242227100MEDICAID (05)MN 
62-36220OTHER (01)MNUBH

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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.
1639232556
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669434510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 3 + 4 + 5 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1639232556 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285797175 WENDY PATRICIA ABBOTT I LICSW
Individual
Specialist8490 WOODBURY XING STE 107
WOODBURY, MN 55125
(651) 238-9447
1578695706 JAMES RICHARDDON MS, LP
Individual
Counselor (Mental Health)8490 WOODBURY XING
WOODBURY, MN 55125
(612) 481-1600
1467628453 JOHN MICHAEL BRENNAN LSC, LPC
Individual
Counselor (Professional)8490 WOODBURY XING
WOODBURY, MN 55125
(651) 739-1128
1023395407 MISSY YOUNG PERRY MA, LMFT
Individual
Marriage & Family Therapist8490 WOODBURY XING
WOODBURY, MN 55125
(651) 739-1128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639232556, enumerated in the NPI registry as an "organization" on December 19, 2006

The provider is located at 8490 Woodbury Xing Ste 107 Woodbury, Mn 55125 and the phone number is (612) 481-1600

This medical organization specializes in Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

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 December 19, 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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