DR. ALEXANDER YURYEVICH AVANESOV PH.D.
NPI 1902956881
Psychologist - Addiction (Substance Use Disorder) in Redwood City, CA

NPI Status: Active since January 11, 2007

Contact Information

26 CENTRAL AVE
REDWOOD CITY, CA
ZIP 94061
Phone: (650) 367-9030
Fax: (650) 367-9032

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  • Individual
  • Male
  • Psychologist
  • Addiction (Substance Use Disorder)

About ALEXANDER AVANESOV

This page provides the complete NPI Profile along with additional information for Alexander Avanesov, a provider established in Redwood City, California with a medical specialization in Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1902956881 assigned on January 2007. The practitioner's primary taxonomy code is 103TA0400X with license number PSY33518 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1902956881
Provider Name
DR. ALEXANDER YURYEVICH AVANESOV PH.D.
Other Name
DR. SASHA AVANESOV PH.D.
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
26 CENTRAL AVE REDWOOD CITY, CA 94061
Location Phone
(650) 367-9030
Location Fax
(650) 367-9032
Mailing Address
PO BOX 471869 SAN FRANCISCO, CA 94147
Mailing Phone
(650) 281-4072
Is Sole Proprietor?
No
Enumeration Date
01-11-2007
Last Update Date
05-27-2024
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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 Addiction (Substance Use Disorder)

Taxonomy Code
103TA0400X
Type
Behavioral Health & Social Service Providers
License No.
PSY33518
License State
CA
Taxonomy Description
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

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)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

PSY33518 (CA)

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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.
1902956881
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290218512816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 8 + 5 + 1 + 2 + 8 + 1 + 6 + 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 1902956881 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
1306268867OUR COMMON GROUND, INC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)26 CENTRAL AVE
REDWOOD CITY, CA 94061
(650) 364-7988
1992178743MR. LUIS AMAYA
Individual
Counselor (Addiction (Substance Use Disorder))26 CENTRAL AVE
REDWOOD CITY, CA 94061
(650) 367-9030
1346390200OUR COMMON GROUND, INC.
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)26 CENTRAL AVE
REDWOOD CITY, CA 94061
(650) 367-9030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902956881, enumerated in the NPI registry as an "individual" on January 11, 2007

The provider is located at 26 Central Ave Redwood City, Ca 94061 and the phone number is (650) 367-9030

The provider's speciality is Psychologist with taxonomy code 103TA0400X with a focus in Addiction (Substance Use Disorder)

This NPI record was last updated on January 11, 2007. 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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