DR. SUSAN MASSEY-CONNOLLY PSY.D.
NPI 1720451214
Clinical Neuropsychologist in Atlanta, GA

NPI Status: Active since November 05, 2015

Contact Information

140 DECATUR ST
THE URBAN LIFE BUILDING 10TH FLOOR SUITE 1053
ATLANTA, GA
ZIP 30302
Phone: (404) 413-6245
Fax: (404) 413-6130

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  • Individual
  • Female
  • Clinical Neuropsychologist

About SUSAN MASSEY-CONNOLLY

This page provides the complete NPI Profile along with additional information for Susan Massey-connolly, a provider established in Atlanta, Georgia with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1720451214 assigned on November 2015. The practitioner's primary taxonomy code is 103G00000X with license number 3832 (GA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1720451214
Provider Name
DR. SUSAN MASSEY-CONNOLLY PSY.D.
Gender
Female
Entity Type
Individual
Location Address
140 DECATUR ST THE URBAN LIFE BUILDING 10TH FLOOR SUITE 1053 ATLANTA, GA 30302
Location Phone
(404) 413-6245
Location Fax
(404) 413-6130
Mailing Address
PO BOX 3995 ATLANTA, GA 30302
Mailing Phone
(404) 413-6245
Mailing Fax
(404) 413-6130
Is Sole Proprietor?
Yes
Enumeration Date
11-05-2015
Last Update Date
11-05-2015
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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.
3832
License State
GA
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.

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)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

3832 (GA)

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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.
1720451214
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274085222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 8 + 5 + 2 + 2 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1720451214 is valid because the calculated check digit 4 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 1720451214, enumerated in the NPI registry as an "individual" on November 05, 2015

The provider is located at 140 Decatur St The Urban Life Building 10th Floor Suite 1053 Atlanta, Ga 30302 and the phone number is (404) 413-6245

The provider's speciality is Clinical Neuropsychologist with taxonomy code 103G00000X

This NPI record was last updated on November 05, 2015. 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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