CENTER FOR LIFESTYLE CHANGE
NPI 1821003419
Psychologist - Rehabilitation in Phoenix, AZ

NPI Status: Active since July 30, 2006

Contact Information

4222 E CAMELBACK RD
SUITE H230
PHOENIX, AZ
ZIP 85018
Phone: (602) 852-0911
Fax: (602) 852-0632

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  • Organization
  • Psychologist
  • Rehabilitation

About CENTER FOR LIFESTYLE CHANGE

This page provides the complete NPI Profile along with additional information for Center For Lifestyle Change, a provider established in Phoenix, Arizona operating as a Psychologist, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1821003419 assigned on July 2006. The practitioner's primary taxonomy code is 103TR0400X with license number BH934 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. Center For Lifestyle Change operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Center For Lifestyle Change. The authorized official of this NPI record is Dr. Phillip D Lett Phd (Administrator)

NPI
1821003419
Provider Legal Name
PROFESSIONAL PSYCHOLOGY ASSOCIATES PC
Other Organization Name
CENTER FOR LIFESTYLE CHANGE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4222 E CAMELBACK RD SUITE H230 PHOENIX, AZ 85018
Location Phone
(602) 852-0911
Location Fax
(602) 852-0632
Mailing Address
4222 E CAMELBACK RD SUITE H230 PHOENIX, AZ 85018
Mailing Phone
(602) 852-0911
Mailing Fax
(602) 852-0632
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2006
Last Update Date
08-22-2020
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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 Rehabilitation

Taxonomy Code
103TR0400X
Type
Behavioral Health & Social Service Providers
License No.
BH934
License State
AZ
Taxonomy Description
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

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

DR. PHILLIP D LETT PHD

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(602) 852-0911

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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.
1821003419
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284100642
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 0 + 0 + 6 + 4 + 2 + 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 = 99

The NPI number 1821003419 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801016878PROFESSIONAL PSYCHOLOGY ASSOCIATES, PC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)4222 E CAMELBACK RD SUITE H230
PHOENIX, AZ 85018
(602) 852-0911
1306047089MS. MASSOUMEH S. KAZEMI LPC, LISAC
Individual
Counselor (Addiction (Substance Use Disorder))4222 E CAMELBACK RD SUITE H210
PHOENIX, AZ 85018
(480) 390-0998
1710935515DR. PHILLIP D LETT PH.D.
Individual
Psychologist (Rehabilitation)4222 E CAMELBACK RD H230
PHOENIX, AZ 85018
(602) 852-0911
1619033701MR. CHARLES CRAIG MILLS MC
Individual
Counselor (Professional)4222 E CAMELBACK RD SUITE 230H
PHOENIX, AZ 85018
(602) 852-0911
1881669679 RONALD S BURNS MD
Individual
Anesthesiology4222 E CAMELBACK RD SUITE H150
PHOENIX, AZ 85018
(602) 509-0500
1447474440 LINNUS S. PECAUT PH.D.
Individual
Psychologist (Clinical)4222 E CAMELBACK RD 230H
PHOENIX, AZ 85018
(602) 852-0911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821003419, enumerated in the NPI registry as an "organization" on July 30, 2006

The provider is located at 4222 E Camelback Rd Suite H230 Phoenix, Az 85018 and the phone number is (602) 852-0911

This medical organization specializes in Psychologist with taxonomy code 103TR0400X with a focus in Rehabilitation

This NPI record was last updated on July 30, 2006. 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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