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Type D personality can be assessed by means of a valid and reliable 14-item questionnaire, the Type D Scale (DS14). Seven items refer to negative affectivity, and seven items refer to social inhibition. People who score 10 points or more on both dimensions are classified as Type D. Both negative affectivity and social inhibition have been shown to be relatively stable traits across four years. The DS14 can be applied in clinical practice for the risk stratification of cardiac patients.

Various scholars have argued that the relation between Type D personality (high scores on negative affectivity and social inhibition) and an outcome can be conceptualised as a synergy between negative affectivity and social inhibition on the outcome of interest.

Several methods have been used to statistically model the relation between Type D personality and an outcome measure. A crude distinction can be made between dimensional and typological approaches.

NPI Registry Public Search is a free directory of all active National Provider Identifier (NPI) records. Individuals or organizations apply for NPIs through the CMS National Plan and Provider Enumeration System (NPPES).

Updates can be made online by accessing https://nppes.cms.hhs.gov and completing the steps below: NOTE: The following changes cannot be completed online and require a Paper Application/Update Form: Changes to Date of Birth, Changes to Social Security Number, Reactivation of an NPI and Deactivation of an NPI.

To apply online or by mail, organizations should visit the National Plan and Provider Enumeration System (NPPES) website, read the instructions carefully, complete the questionnaire, and submit their application. The website contains Frequently Asked Questions and other helpful information.


An NPI is a unique identification number for covered health care providers, created to help send health information electronically more quickly and effectively. Covered health care providers, all health plans, and health care clearinghouses must use NPIs in their administrative and financial transactions.