NEWPORT ACADEMY-SANTA MONICA
NPI 1073109047
Clinic/Center - Adolescent and Children Mental Health in Santa Monica, CA
NPI Status: Active since December 14, 2020
Contact Information
2001 WILSHIRE BLVD STE 525
SANTA MONICA, CA
ZIP 90403
Phone: (714) 202-5166
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- CLIA Number: 05D2275959
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 01-30-2027
About NEWPORT ACADEMY-SANTA MONICA
This page provides the complete NPI Profile along with additional information for Newport Academy-santa Monica, a provider established in Santa Monica, California operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1073109047 assigned on December 2020. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Newport Academy-santa Monica. The authorized official of this NPI record is Joseph A Procopio (Ceo)
- NPI
- 1073109047
- Provider Legal Name
- MONROE OPERATIONS, LLC
- Other Organization Name
- NEWPORT ACADEMY-SANTA MONICA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2001 WILSHIRE BLVD STE 525 SANTA MONICA, CA 90403
- Location Phone
- (714) 202-5166
- Mailing Address
- L-3969 COLUMBUS, OH 43260
- Mailing Phone
- (714) 202-5166
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-14-2020
- Last Update Date
- 08-23-2023
- Code Navigator
Location Map
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
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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) |
|---|---|---|---|---|
| 1 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2275959
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- January 31, 2025
- Certificate Expiration Date
- January 30, 2027
- Laboratory Director
- AAMIR KHAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Newport Academy-santa Monica to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 0 | 7 | 3 | 1 | 0 | 9 | 0 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 2 | 0 | 18 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 2 + 0 + 1 + 8 + 0 + 8 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1073109047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578915997 | KIMBERLY MACKAY LCSW 99074 Individual | Social Worker (Clinical) | 2001 WILSHIRE BLVD STE 525 SANTA MONICA, CA 90403 (949) 491-7930 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073109047, enumerated in the NPI registry as an "organization" on December 14, 2020
The provider is located at 2001 Wilshire Blvd Ste 525 Santa Monica, Ca 90403 and the phone number is (714) 202-5166
This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health
The provider's CLIA number is 05D2275959 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 14, 2020. 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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