VICTOR COMMUNITY SUPPORT SERVICES, FAIRFIELD
NPI 1033867569
Community/Behavioral Health in Fairfield, CA

NPI Status: Active since March 14, 2022

Contact Information

801 EMPIRE ST
FAIRFIELD, CA
ZIP 94533
Phone: (707) 425-5744
Fax: (707) 425-5162

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  • Organization
  • Community/Behavioral Health

About VICTOR COMMUNITY SUPPORT SERVICES, FAIRFIELD

This page provides the complete NPI Profile along with additional information for Victor Community Support Services, Fairfield, a provider established in Fairfield, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1033867569 assigned on March 2022. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Victor Community Support Services, Fairfield. The authorized official of this NPI record is Angie R Wiechert (Director Of Financial Analysis)

NPI
1033867569
Provider Legal Name
VICTOR COMMUNITY SUPPORT SERVICES, INC.
Other Organization Name
VICTOR COMMUNITY SUPPORT SERVICES, FAIRFIELD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
801 EMPIRE ST FAIRFIELD, CA 94533
Location Phone
(707) 425-5744
Location Fax
(707) 425-5162
Mailing Address
1360 E LASSEN AVE CHICO, CA 95973
Mailing Phone
(530) 893-0758
Mailing Fax
(707) 425-5162
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2022
Last Update Date
08-28-2024
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Location Map

Secondary Locations

  • 733 Webster St
    Fairfield, CA 94533
    (707) 425-5744

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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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)
1252Y00000XAgencies

Early Intervention Provider Agency

 
2261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

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.

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

ANGIE R WIECHERT

Authorized Official Title
DIRECTOR OF FINANCIAL ANALYSIS
Authorized Official Phone
(530) 230-1210

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
01042OTHER (01)CALEGAL ENTITY NUMBER

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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.
1033867569
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206316614512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 6 + 6 + 1 + 4 + 5 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1033867569 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568523215MS. EILEEN NOLAN LCSW
Individual
Social Worker (Clinical)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1184776296DR. LORIENE HATSUMI HONDA PH.D.
Individual
Psychologist (Clinical Child & Adolescent)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1275686966 YOLANDA CASTORENA MSW INTERN
Individual
Counselor (Mental Health)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1538211305MRS. JENNIFER DELL LINGAFELDT MFT
Individual
Marriage & Family Therapist801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1477606960 ANDREA DEL CARLO
Individual
Counselor (Mental Health)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1285789628MS. RACHEL RICE MA
Individual
Counselor (Mental Health)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1851508378CHILD HAVEN, INC.
Organization
Community/Behavioral Health801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1881889020 LORNA REED
Individual
Counselor (Mental Health)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1376792853MS. JULIE ANN MILLER PHYSICAL THERAPIST
Individual
Physical Therapist (Pediatrics)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 290-8489
1447402532MRS. JENNIFER MARIE NETA PT
Individual
Physical Therapist (Pediatrics)801 EMPIRE ST
FAIRFIELD, CA 94533
(530) 219-3292
1538495296 SARAH GEORGE
Individual
Counselor (Mental Health)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1205122025MR. RICHARD LIVINGSTON JR.
Individual
Counselor (Mental Health)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1578815668MR. NAPOLEON DARGAN JR. M.A
Individual
Student in an Organized Health Care Education/Training Program801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1366707705 ANGEL R. AGUILAR MSW, ASW
Individual
Social Worker (Clinical)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1881029510MS. CRISTI DRAKE M.A.
Individual
Psychologist801 EMPIRE ST
FAIRFIELD, CA 94533
(415) 577-3458
1154720712CHILD HAVEN INC
Organization
Community/Behavioral Health801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1952701955 SHARON HASSLEN M.S.
Individual
Psychologist801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1093912735 ALMA URIBE CHINAS MFT TRAINEE
Individual
Student in an Organized Health Care Education/Training Program801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1699916668 CLEORA E GALVEZ BA
Individual
Counselor (Addiction (Substance Use Disorder))801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744
1164759635 MARIA L AVILA
Individual
Counselor (Mental Health)801 EMPIRE ST
FAIRFIELD, CA 94533
(707) 425-5744

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033867569, enumerated in the NPI registry as an "organization" on March 14, 2022

The provider is located at 801 Empire St Fairfield, Ca 94533 and the phone number is (707) 425-5744

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

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 March 14, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.