LEESBURG PSYCHOLOGY
NPI 1710204292
Psychologist - Clinical in Leesburg, FL

NPI Status: Active since April 23, 2010

Contact Information

8529 US HIGHWAY 441
LEESBURG, FL
ZIP 34788
Phone: (352) 787-7144
Fax: (352) 450-7600

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  • Organization
  • Psychologist
  • Clinical

About LEESBURG PSYCHOLOGY

This page provides the complete NPI Profile along with additional information for Leesburg Psychology, a provider established in Leesburg, Florida operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1710204292 assigned on April 2010. The practitioner's primary taxonomy code is 103TC0700X with license number PY4794 (FL). The provider is registered as an organization and their NPI record was last updated 15 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 authorized official of this NPI record is Dr. Evelyn R. Baez-rojas Ph.d. (Owner)

NPI
1710204292
Provider Name
LEESBURG PSYCHOLOGY
Entity Type
Organization
Location Address
8529 US HIGHWAY 441 LEESBURG, FL 34788
Location Phone
(352) 787-7144
Location Fax
(352) 450-7600
Mailing Address
8529 US HIGHWAY 441 LEESBURG, FL 34788
Mailing Phone
(352) 787-7144
Mailing Fax
(352) 450-7600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2010
Last Update Date
05-10-2010
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A clinical psychologist like Leesburg Psychology 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.
PY4794
License State
FL
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.

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.

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

DR. EVELYN R. BAEZ-ROJAS PH.D.

Authorized Official Title
OWNER
Authorized Official Phone
(352) 787-7144

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
59515AMEDICARE PIN (08)FL 
59515OTHER (01)FLBLUE CROSS AND BLUE SHIELD OF FLORIDA

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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.
1710204292
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720408218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 0 + 8 + 2 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1710204292 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669885760EGF ENTERPRISES,INC DBA SENIOR HELPERS OF THE VILLAGES
Organization
Home Health8529 US HIGHWAY 441
LEESBURG, FL 34788
(352) 323-6232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710204292, enumerated in the NPI registry as an "organization" on April 23, 2010

The provider is located at 8529 Us Highway 441 Leesburg, Fl 34788 and the phone number is (352) 787-7144

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 April 23, 2010. 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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