SRM CLINICAL PSYCHOLOGY P A
NPI 1811133309
Clinical Neuropsychologist in Hollywood, FL
NPI Status: Active since January 05, 2009
Contact Information
6100 HOLLYWOOD BLVD
SUITE 201
HOLLYWOOD, FL
ZIP 33024
Phone: (954) 962-8052
Fax: (954) 966-4774
- Organization
- Clinical Neuropsychologist
About SRM CLINICAL PSYCHOLOGY P A
This page provides the complete NPI Profile along with additional information for Srm Clinical Psychology P A, a provider established in Hollywood, Florida operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1811133309 assigned on January 2009. The practitioner's primary taxonomy code is 103G00000X with license number 7360 (FL). The provider is registered as an organization and their NPI record was last updated 16 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 Sara Malagold (President)
- NPI
- 1811133309
- Provider Name
- SRM CLINICAL PSYCHOLOGY P A
- Entity Type
- Organization
- Location Address
- 6100 HOLLYWOOD BLVD SUITE 201 HOLLYWOOD, FL 33024
- Location Phone
- (954) 962-8052
- Location Fax
- (954) 966-4774
- Mailing Address
- 3215 NE 184TH ST APTO 14203 NORTH MIAMI BEACH, FL 33160
- Mailing Phone
- (954) 962-8052
- Mailing Fax
- (954) 966-4774
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2009
- Last Update Date
- 08-20-2009
- Code Navigator
Location Map
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.
- 7360
- License State
- FL
- 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.
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| CA913A | MEDICARE PIN (08) | FL | |
| 7360 | OTHER (01) | FL | LIC |
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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. | |||||||||
| 1 | 8 | 1 | 1 | 1 | 3 | 3 | 3 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 2 | 3 | 6 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 2 + 3 + 6 + 3 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1811133309 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 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336351568 | DR. DENNIS H BONNEAU DC Individual | Chiropractor | 6100 HOLLYWOOD BLVD SUITE 409 HOLLYWOOD, FL 33024 (954) 986-0770 |
| 1407030216 | DR. SARA ROSA MALAGOLD PH.D. Individual | Psychologist (Clinical) | 6100 HOLLYWOOD BLVD SUITE 201 HOLLYWOOD, FL 33024 (954) 962-8052 |
| 1508042185 | URO-MEDIX INC Organization | Urology | 6100 HOLLYWOOD BLVD SUITE 100 HOLLYWOOD, FL 33024 (954) 987-3010 |
| 1396980892 | DR. HUGO DE AYALA M.D. Individual | Specialist | 6100 HOLLYWOOD BLVD SUITE 106 HOLLYWOOD, FL 33024 (954) 983-8186 |
| 1679713838 | PAIN MANAGEMENT GROUP OF S FLORIDA INC Organization | Family Medicine | 6100 HOLLYWOOD BLVD SUITE 409 HOLLYWOOD, FL 33024 (954) 986-0770 |
| 1437427366 | INTEGRATIVE CENTER FOR COGNITIVE DISORDERS PA Organization | Psychologist (Clinical) | 6100 HOLLYWOOD BLVD SUITE 202 HOLLYWOOD, FL 33024 (954) 894-4802 |
| 1427595354 | E-LAB OF FLORIDA INC. Organization | Clinical Medical Laboratory | 6100 HOLLYWOOD BLVD SUITE 306 HOLLYWOOD, FL 33024 (954) 530-8332 |
| 1699233726 | WOODLANE MEDICAL LLC Organization | Durable Medical Equipment & Medical Supplies | 6100 HOLLYWOOD BLVD STE 510 HOLLYWOOD, FL 33024 (954) 589-1849 |
| 1235219833 | MAINS'L FLORIDA, INC. DBA MAINS'L SERVICE,INC, Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 6100 HOLLYWOOD BLVD HOLLYWOOD, FL 33024 (954) 919-0321 |
| 1578116059 | ONE STOP MEDICAL SUPPLIES LLC Organization | Durable Medical Equipment & Medical Supplies | 6100 HOLLYWOOD BLVD SUITE 522 HOLLYWOOD, FL 33024 (754) 400-2127 |
| 1457942039 | VALHALLA PHYSICAL THERAPY LLC Organization | Clinic/Center (Physical Therapy) | 6100 HOLLYWOOD BLVD SUITE 100 HOLLYWOOD, FL 33024 (754) 201-1000 |
| 1295200897 | GUIDEWELL SANITAS I, LLC Organization | Clinic/Center (Multi-Specialty) | 6100 HOLLYWOOD BLVD HOLLYWOOD, FL 33024 (844) 665-4827 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811133309, enumerated in the NPI registry as an "organization" on January 05, 2009
The provider is located at 6100 Hollywood Blvd Suite 201 Hollywood, Fl 33024 and the phone number is (954) 962-8052
This medical organization specializes in Clinical Neuropsychologist with taxonomy code 103G00000X
The provider might be accepting Accepts: Medicare and Medicaid. 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 January 05, 2009. 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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