CENTRA MEDICAL GROUP, LLC
NPI 1649624164
Psychologist - Clinical Child & Adolescent in Lynchburg, VA

NPI Status: Active since April 21, 2016

Contact Information

2010 ATHERHOLT RD
LYNCHBURG, VA
ZIP 24501
Phone: (434) 200-5047

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About CENTRA MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Centra Medical Group, Llc, a provider established in Lynchburg, Virginia operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1649624164 assigned on April 2016. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Centra Medical Group, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Joshua Larkin (Credentialing Specialist)

NPI
1649624164
Provider Name
CENTRA MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
2010 ATHERHOLT RD LYNCHBURG, VA 24501
Location Phone
(434) 200-5047
Mailing Address
2010 ATHERHOLT RD LYNCHBURG, VA 24501
Mailing Phone
(434) 200-5047
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2016
Last Update Date
04-21-2016
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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
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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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. JOSHUA LARKIN

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(434) 200-5047

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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.
1649624164
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26891228112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 2 + 2 + 8 + 1 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1649624164 is valid because the calculated check digit 4 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
1003260522CENTRA MEDICAL GROUP, LLC
Organization
Anesthesiology (Hospice and Palliative Medicine)2010 ATHERHOLT RD
LYNCHBURG, VA 24501
(434) 200-5047
1912434663CENTRA MEDICAL GROUP, LLC
Organization
Family Medicine2010 ATHERHOLT RD
LYNCHBURG, VA 24501
(434) 947-3000
1154517670DR. TIFFANY KUULEI NIIDE M.D., PH.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)2010 ATHERHOLT RD
LYNCHBURG, VA 24501
(434) 200-5470
1780650143DR. DEBORA ANN MIHALEY-SOBELMAN MD
Individual
Family Medicine (Hospice and Palliative Medicine)2010 ATHERHOLT RD
LYNCHBURG, VA 24501
(434) 200-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649624164, enumerated in the NPI registry as an "organization" on April 21, 2016

The provider is located at 2010 Atherholt Rd Lynchburg, Va 24501 and the phone number is (434) 200-5047

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

This NPI record was last updated on April 21, 2016. 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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