RICARDO GONZALES, PH.D., PSYCHOLOGICAL SERVICES, LLC
NPI 1639444920
Clinic/Center - Adult Mental Health in Glorieta, NM

NPI Status: Active since March 20, 2012

Contact Information

168 AVE. PONDEROSA
GLORIETA, NM
ZIP 87535
Phone: (505) 757-2216

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About RICARDO GONZALES, PH.D., PSYCHOLOGICAL SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Ricardo Gonzales, Ph.d., Psychological Services, Llc, a provider established in Glorieta, New Mexico operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1639444920 assigned on March 2012. The practitioner's primary taxonomy code is 261QM0850X with license number #414 (NM). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Ricardo R. Gonzales Ph.d. (Clinical Psychologist)

NPI
1639444920
Provider Name
RICARDO GONZALES, PH.D., PSYCHOLOGICAL SERVICES, LLC
Entity Type
Organization
Location Address
168 AVE. PONDEROSA GLORIETA, NM 87535
Location Phone
(505) 757-2216
Mailing Address
PO BOX 325 GLORIETA, NM 87535
Mailing Phone
(505) 757-2216
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2012
Last Update Date
04-02-2012
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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

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
#414
License State
NM
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

#414 (NM)

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. RICARDO R. GONZALES PH.D.

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(505) 757-2216

Reviews for RICARDO GONZALES, PH.D., PSYCHOLOGICAL SERVICES, LLC

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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.
1639444920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266984894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 4 + 8 + 9 + 4 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639444920 is valid because the calculated check digit 0 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 1639444920, enumerated in the NPI registry as an "organization" on March 20, 2012

The provider is located at 168 Ave. Ponderosa Glorieta, Nm 87535 and the phone number is (505) 757-2216

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on March 20, 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].
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.