ST. JOSEPH CENTER - WISE & HEALTHY AGING
NPI 1043416993
Community/Behavioral Health in Santa Monica, CA

NPI Status: Active since June 26, 2007

Contact Information

1527 4TH ST FL 2
SANTA MONICA, CA
ZIP 90401
Phone: (310) 576-2550
Fax: (310) 576-2499

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  • Organization
  • Community/Behavioral Health

About ST. JOSEPH CENTER - WISE & HEALTHY AGING

This page provides the complete NPI Profile along with additional information for St. Joseph Center - Wise & Healthy Aging, a provider established in Santa Monica, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1043416993 assigned on June 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's other name is St. Joseph Center - Wise & Healthy Aging. The authorized official of this NPI record is Dr. Va Lecia Adams Kellum Ph.d. (President & Ceo)

NPI
1043416993
Provider Legal Name
ST. JOSEPH CENTER
Other Organization Name
ST. JOSEPH CENTER - WISE & HEALTHY AGING
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1527 4TH ST FL 2 SANTA MONICA, CA 90401
Location Phone
(310) 576-2550
Location Fax
(310) 576-2499
Mailing Address
1527 4TH ST FL 2 SANTA MONICA, CA 90401
Mailing Phone
(310) 576-2550
Mailing Fax
(310) 576-2499
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-26-2007
Last Update Date
07-02-2018
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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

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.

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. VA LECIA ADAMS KELLUM PH.D.

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(310) 396-6468

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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.
1043416993
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20838112918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 8 + 1 + 1 + 2 + 9 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1043416993 is valid because the calculated check digit 3 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
1891955654 HELEN KIGER RN
Individual
Registered Nurse (Administrator)1527 4TH ST FL 2
SANTA MONICA, CA 90401
(310) 394-9871
1376773069 MOLLY DAVIES
Individual
Counselor (Mental Health)1527 4TH ST FL 2
SANTA MONICA, CA 90401
(310) 394-9871
1477969525MR. ROBERT MAXWELL WEISE M.S., M.A.
Individual
Student in an Organized Health Care Education/Training Program1527 4TH ST FL 2
SANTA MONICA, CA 90401
(310) 394-9871
1053623710MR. JULIO E ECHEGARAY
Individual
Student in an Organized Health Care Education/Training Program1527 4TH ST FL 2
SANTA MONICA, CA 90401
(310) 394-9871
1902350804 DENISE MARATOS
Individual
Student in an Organized Health Care Education/Training Program1527 4TH ST FL 2
SANTA MONICA, CA 90401
(310) 394-9871

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043416993, enumerated in the NPI registry as an "organization" on June 26, 2007

The provider is located at 1527 4th St Fl 2 Santa Monica, Ca 90401 and the phone number is (310) 576-2550

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

This NPI record was last updated on June 26, 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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