IMPACT
NPI 1063635258
Community/Behavioral Health in San Diego, CA

NPI Status: Active since April 10, 2007

Contact Information

1260 MORENA BLVD
SUITE 100
SAN DIEGO, CA
ZIP 92110
Phone: (619) 398-0355
Fax: (619) 398-0350

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  • Organization
  • Community/Behavioral Health

About IMPACT

This page provides the complete NPI Profile along with additional information for Impact, a provider established in San Diego, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1063635258 assigned on April 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Impact. The authorized official of this NPI record is Mr. Bob Marchetti (Cfo)

NPI
1063635258
Provider Legal Name
COMMUNITY RESEARCH FOUNDATION INC
Other Organization Name
IMPACT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1260 MORENA BLVD SUITE 100 SAN DIEGO, CA 92110
Location Phone
(619) 398-0355
Location Fax
(619) 398-0350
Mailing Address
1260 MORENA BLVD SUITE 100 SAN DIEGO, CA 92110
Mailing Phone
(619) 398-0355
Mailing Fax
(619) 398-0350
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2007
Last Update Date
07-29-2021
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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.

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

MR. BOB MARCHETTI

Authorized Official Title
CFO
Authorized Official Phone
(619) 275-0822

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
37JCMEDICAID (05)CA 

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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.
1063635258
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012312310210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 3 + 1 + 0 + 2 + 1 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1063635258 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942375381 JOHN KLECKER
Individual
Counselor (Mental Health)1260 MORENA BLVD
SAN DIEGO, CA 92110
(619) 398-0355
1891861084MR. XAVIER F. FREGOSO M.S., CRC
Individual
Counselor (Mental Health)1260 MORENA BLVD SUITE 100
SAN DIEGO, CA 92110
(619) 398-0355
1831267970MRS. MELISSA BEALS MA
Individual
Marriage & Family Therapist1260 MORENA BLVD 100
SAN DIEGO, CA 92110
(619) 398-0355
1396805370 LINDSAY LAETSCH RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1260 MORENA BLVD
SAN DIEGO, CA 92110
(619) 398-0355
1194889337MS. SHIRLEY UNDERWOOD JONES LVN
Individual
Counselor (Mental Health)1260 MORENA BLVD
SAN DIEGO, CA 92110
(619) 398-0355
1417012477MS. STEPHANIE ANN DOREEN UKRAINETZ B.A.
Individual
Counselor (Mental Health)1260 MORENA BLVD SUITE # 100
SAN DIEGO, CA 92110
(619) 398-0355
1154468684DR. RONIT LEONA CHERNOBELSKY MD
Individual
Psychiatry & Neurology (Psychiatry)1260 MORENA BLVD 100
SAN DIEGO, CA 92110
(619) 398-0355
1588858195 DESERIE PELAYO
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1260 MORENA BLVD
SAN DIEGO, CA 92110
(619) 398-0355
1336337377 LETITIA ELIZABETH MADDOCK LVN
Individual
Counselor (Mental Health)1260 MORENA BLVD
SAN DIEGO, CA 92110
(619) 398-0355
1669647624 BONNIE YVONNE JIMENEZ B.A.
Individual
Counselor (Mental Health)1260 MORENA BLVD SUITE 100
SAN DIEGO, CA 92110
(619) 398-0355
1831342013MS. CAROLYN J. TOTH
Individual
Counselor (Mental Health)1260 MORENA BLVD SUITE 100
SAN DIEGO, CA 92110
(619) 275-0822
1730325861 MARITZA Z. PANTOJA
Individual
Counselor (Mental Health)1260 MORENA BLVD SUITE100
SAN DIEGO, CA 92110
(619) 398-0355
1851539605 STEVEN JOHN ARCE
Individual
Counselor (Mental Health)1260 MORENA BLVD SUITE 100
SAN DIEGO, CA 92110
(619) 398-0355
1881833879 RODRIGO HAROLD RICHEN
Individual
Marriage & Family Therapist1260 MORENA BLVD SUITE 100
SAN DIEGO, CA 92110
(619) 398-0355
1205132289 COLIN CADMAN
Individual
Counselor (Mental Health)1260 MORENA BLVD
SAN DIEGO, CA 92110
(619) 398-0355
1548544794 JESSICA SATO IMF
Individual
Marriage & Family Therapist1260 MORENA BLVD SUITE 100
SAN DIEGO, CA 92110
(619) 398-0355
1689003360 MARGUERITE JOHNSON
Individual
Counselor (Mental Health)1260 MORENA BLVD
SAN DIEGO, CA 92110
(619) 398-0355
1497175830 NAOMI SUSKIND ASW
Individual
Social Worker1260 MORENA BLVD
SAN DIEGO, CA 92110
(619) 398-1897
1487946067DR. ELIZABETH PITTNER
Individual
Psychologist1260 MORENA BLVD SUITE 100
SAN DIEGO, CA 92110
(619) 398-0355
1710329685MISS GABRIELA G ARIAS
Individual
Counselor (Addiction (Substance Use Disorder))1260 MORENA BLVD SUITE 100
SAN DIEGO, CA 92110
(845) 750-9282

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063635258, enumerated in the NPI registry as an "organization" on April 10, 2007

The provider is located at 1260 Morena Blvd Suite 100 San Diego, Ca 92110 and the phone number is (619) 398-0355

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 April 10, 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.