MATTHEW PAUL ZICCARDI PsyD
NPI 1972508471
Clinical Neuropsychologist in Fort Wayne,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 20, 2005

Contact Information

2200 Randallia Dr
Fort Wayne,
Post Code: 46805
Phone: (260) 373-4538
Fax: (260) 373-9225

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Matthew Paul Ziccardi Psyd in Fort Wayne - Clinical Neuropsychologist

Matthew Paul Ziccardi Psyd is a Clinical Neuropsychologist in Fort Wayne, . Matthew Paul Ziccardi Psyd practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Matthew Paul Ziccardi Psyd is 1972508471. The last update date is 2022-10-12.

Matthew Paul Ziccardi Psyd's current location address is 2200 Randallia Dr, Fort Wayne, . You can contact this provider via phone number (260) 373-4538 and fax number (260) 373-9225. The mailing address for Matthew Paul Ziccardi Psyd is 2200 Randallia Dr, Fort Wayne, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1972508471
Provider Name
MATTHEW PAUL ZICCARDI PsyD
Gender
Male
Entity Type
Individual
Location Address
2200 Randallia Dr, Fort Wayne,
Location Phone
(260) 373-4538
Location Fax
(260) 373-9225
Mailing Address
11109 Parkview Plaza Dr # 117, Fort Wayne, Indiana(IN)
Mailing Phone
Mailing Fax
-
Enumeration Date
2005-06-20
Last Update Date
2022-10-12
Code Navigator

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
-
License No.
20043298A
License State
Indiana (IN)
Taxonomy Description
-

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)
1 103G00000X Clinical Neuropsychologist

Clinical Neuropsychologist

5281 (Ohio)

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

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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.
1972508471
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2914210016414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2914210016414
2 + 9 + 1 + 4 + 2 + 1 + 0 + 0 + 1 + 6 + 4 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1972508471 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497758429 FORT WAYNE ORTHOPAEDICS LLC
Organization
Orthopaedic Surgery, Hand Surgery PO BOX 2526
FORT WAYNE, Indiana (IN)
260-436-8686
1487657417 DANIEL W CAREY
Individual
Social Worker, Clinical 850 N HARRISON ST
WARSAW, Indiana (IN)
574-267-7169
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1437152469 STEVEN E FISHER
Individual
Orthopaedic Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1417950452 SATTI HOME HEALTH CARE PC
Organization
Home Health 9339 CALUMET AVE
MUNSTER, Indiana (IN)
219-836-8331