JENNIFER E MEDINA PHD PC
NPI 1649674524
Clinical Neuropsychologist in Denver, CO

NPI Status: Active since October 21, 2014

Contact Information

4045 PECOS ST STE 150
DENVER, CO
ZIP 80211
Phone: (720) 295-0357

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  • Organization
  • Clinical Neuropsychologist

About JENNIFER E MEDINA PHD PC

This page provides the complete NPI Profile along with additional information for Jennifer E Medina Phd Pc, a provider established in Denver, Colorado operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1649674524 assigned on October 2014. The practitioner's primary taxonomy code is 103G00000X with license number PSY.0004192 (CO). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jennifer Medina Phd (Owner)

NPI
1649674524
Provider Name
JENNIFER E MEDINA PHD PC
Entity Type
Organization
Location Address
4045 PECOS ST STE 150 DENVER, CO 80211
Location Phone
(720) 295-0357
Mailing Address
4045 PECOS ST STE 150 DENVER, CO 80211
Mailing Phone
(720) 295-0357
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-21-2014
Last Update Date
11-20-2024
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
PSY.0004192
License State
CO
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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.

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

JENNIFER MEDINA PHD

Authorized Official Title
OWNER
Authorized Official Phone
(720) 295-0357

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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.
1649674524
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689127854
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 2 + 7 + 8 + 5 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1649674524 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093530479BRAIN SPACE LLC
Organization
Psychologist (Clinical)4045 PECOS ST STE 150
DENVER, CO 80211
(720) 907-0420
1144513821 JENNIFER ELAINE MEDINA PH.D
Individual
Psychologist (Clinical)4045 PECOS ST STE 150
DENVER, CO 80211
(720) 295-0357

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649674524, enumerated in the NPI registry as an "organization" on October 21, 2014

The provider is located at 4045 Pecos St Ste 150 Denver, Co 80211 and the phone number is (720) 295-0357

This medical organization specializes in Clinical Neuropsychologist with taxonomy code 103G00000X

This NPI record was last updated on October 21, 2014. 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.