CSP CRISIS RESIDENTIAL PROGRAM
NPI 1063567378
Residential Treatment Facility, Emotionally Disturbed Children in Laguna Beach, CA

NPI Status: Active since January 24, 2007

Contact Information

980 CATALINA
LAGUNA BEACH, CA
ZIP 92651
Phone: (949) 494-4311

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About CSP CRISIS RESIDENTIAL PROGRAM

This page provides the complete NPI Profile along with additional information for Csp Crisis Residential Program, a provider established in Laguna Beach, California operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1063567378 assigned on January 2007. The practitioner's primary taxonomy code is 322D00000X with license number MFT35212 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Carol Carlson (Director)

NPI
1063567378
Provider Name
CSP CRISIS RESIDENTIAL PROGRAM
Entity Type
Organization
Location Address
980 CATALINA LAGUNA BEACH, CA 92651
Location Phone
(949) 494-4311
Mailing Address
980 CATALINA LAGUNA BEACH, CA 92651
Mailing Phone
(949) 494-4311
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2007
Last Update Date
08-22-2020
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
MFT35212
License State
CA
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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

MRS. CAROL CARLSON

Authorized Official Title
DIRECTOR
Authorized Official Phone
(949) 494-4311

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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.
1063567378
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012310614314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 0 + 6 + 1 + 4 + 3 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1063567378 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053441113CSP
Organization
Residential Treatment Facility, Emotionally Disturbed Children980 CATALINA
LAGUNA BEACH, CA 92651
(949) 285-6477
1467650838 KATHERINE ELLEN BAXTER MFT
Individual
Marriage & Family Therapist980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1588825426 JENNIFER MARIN COOPER
Individual
Counselor (Mental Health)980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1447512108COMMUNITY SERVICE PROGRAMS
Organization
Community Based Residential Treatment Facility, Mental Illness980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1356650402MRS. GABRIELLA LAUREN ROEMER
Individual
Marriage & Family Therapist980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1558960112 CELESTE HERMELINDA REYES ASW
Individual
Social Worker (Clinical)980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1043738933 MYRIAM REBECCA RODRIGUEZ
Individual
Social Worker (Clinical)980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1346511508 SHONTE REEVES MSW
Individual
Social Worker (Clinical)980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1184779274WAYMAKERS
Organization
Clinic/Center (Adolescent and Children Mental Health)980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1417689472MRS. SYLVIA MARIA MARTINEZ
Individual
Counselor (Professional)980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311
1851130397 BRITTNEY NICOLE MACINTYRE
Individual
Social Worker980 CATALINA
LAGUNA BEACH, CA 92651
(949) 494-4311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063567378, enumerated in the NPI registry as an "organization" on January 24, 2007

The provider is located at 980 Catalina Laguna Beach, Ca 92651 and the phone number is (949) 494-4311

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

This NPI record was last updated on January 24, 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].
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.