PHERAL PSYCHOTHERAPY
NPI 1790268191
Social Worker - Clinical in Boulder, CO

NPI Status: Active since September 11, 2018

Contact Information

2299 PEARL ST STE 400F
BOULDER, CO
ZIP 80302
Phone: (303) 859-2611

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  • Organization
  • Social Worker
  • Clinical

About PHERAL PSYCHOTHERAPY

This page provides the complete NPI Profile along with additional information for Pheral Psychotherapy, a provider established in Boulder, Colorado operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1790268191 assigned on September 2018. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pheral Psychotherapy operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Pheral Psychotherapy. The authorized official of this NPI record is Marian Salley Lcsw Lac Cgp Acs (Owner)

NPI
1790268191
Provider Legal Name
MARIAN SALLEY LCSW LLC
Other Organization Name
PHERAL PSYCHOTHERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2299 PEARL ST STE 400F BOULDER, CO 80302
Location Phone
(303) 859-2611
Mailing Address
4710 HOLIDAY DR UNIT 103 BOULDER, CO 80304
Mailing Phone
(303) 859-2611
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2018
Last Update Date
11-15-2023
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A clinical social worker like Pheral Psychotherapy is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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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

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

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

MARIAN SALLEY LCSW LAC CGP ACS

Authorized Official Title
OWNER
Authorized Official Phone
(303) 859-2611

Reviews for PHERAL PSYCHOTHERAPY

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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.
1790268191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271804616118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 4 + 6 + 1 + 6 + 1 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1790268191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437634458UMWELT CENTER FOR GROUP PSYCHOTHERAPY LLC
Organization
Social Worker (Clinical)2299 PEARL ST STE 400F
BOULDER, CO 80302
(303) 859-2611
1538477351 MARIAN SALLEY LCSW LAC CGP ACS
Individual
Social Worker (Clinical)2299 PEARL ST STE 400F
BOULDER, CO 80302
(303) 859-2611
1851743058 ELIZABETH ANN STAHL MA, LPC
Individual
Counselor (Professional)2299 PEARL ST STE 400F
BOULDER, CO 80302
(646) 573-0195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790268191, enumerated in the NPI registry as an "organization" on September 11, 2018

The provider is located at 2299 Pearl St Ste 400f Boulder, Co 80302 and the phone number is (303) 859-2611

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on September 11, 2018. 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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