GENESIS CLINCAL SERVICES
NPI 1801473939
Psychologist - Clinical in Charlotte, NC

NPI Status: Active since March 25, 2021

Contact Information

7400 CARMEL EXECUTIVE PARK DR STE 135
CHARLOTTE, NC
ZIP 28226
Phone: (704) 464-4910
Fax: (704) 230-0856

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  • Organization
  • Psychologist
  • Clinical
  • Accepts Insurance

About GENESIS CLINCAL SERVICES

This page provides the complete NPI Profile along with additional information for Genesis Clincal Services, a provider established in Charlotte, North Carolina operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1801473939 assigned on March 2021. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Genesis Clincal Services 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 Dr. Chad W Kraska Psyd (Owner, Clinical Psychologist)

NPI
1801473939
Provider Name
GENESIS CLINCAL SERVICES
Entity Type
Organization
Location Address
7400 CARMEL EXECUTIVE PARK DR STE 135 CHARLOTTE, NC 28226
Location Phone
(704) 464-4910
Location Fax
(704) 230-0856
Mailing Address
7400 CARMEL EXECUTIVE PARK DR STE 135 CHARLOTTE, NC 28226
Mailing Phone
(704) 464-4910
Mailing Fax
(704) 230-0856
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-25-2021
Last Update Date
03-25-2021
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A clinical psychologist like Genesis Clincal Services 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
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.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

 
3103T00000XBehavioral Health & Social Service Providers

Psychologist

 
4103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

 
5103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

 
6103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

 
7103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

 
8103TM1800XBehavioral Health & Social Service Providers

Psychologist
Intellectual and Developmental Disabilities

 
9103TP0814XBehavioral Health & Social Service Providers

Psychologist
Psychoanalysis

 
10103TS0200XBehavioral Health & Social Service Providers

Psychologist
School

 
111041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
  • Blue Home Gold Standard | with Novant Health - EPO
  • Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Silver Standard | with Novant Health - EPO

*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. CHAD W KRASKA PSYD

Authorized Official Title
OWNER, CLINICAL PSYCHOLOGIST
Authorized Official Phone
(704) 464-4910

Reviews for GENESIS CLINCAL SERVICES

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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.
1801473939
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280187696
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 7 + 6 + 9 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1801473939 is valid because the calculated check digit 9 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
1801172051DR. CHAD WESLEY KRASKA PSY.D.
Individual
Psychologist (Clinical)7400 CARMEL EXECUTIVE PARK DR STE 135
CHARLOTTE, NC 28226
(704) 464-4910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801473939, enumerated in the NPI registry as an "organization" on March 25, 2021

The provider is located at 7400 Carmel Executive Park Dr Ste 135 Charlotte, Nc 28226 and the phone number is (704) 464-4910

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. 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 March 25, 2021. 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.