JUVENILE JUSTICE
NPI 1134320856
Community/Behavioral Health in Modesto, CA

NPI Status: Active since May 30, 2007

Contact Information

2215 BLUE GUM AVE
MODESTO, CA
ZIP 95358
Phone: (209) 558-4752

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  • Organization
  • Community/Behavioral Health

About JUVENILE JUSTICE

This page provides the complete NPI Profile along with additional information for Juvenile Justice, a provider established in Modesto, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1134320856 assigned on May 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Juvenile Justice. The authorized official of this NPI record is Richard Degette Mft (Behavioral Health Director)

NPI
1134320856
Provider Legal Name
STANISLAUS COUNTY BHRS
Other Organization Name
JUVENILE JUSTICE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2215 BLUE GUM AVE MODESTO, CA 95358
Location Phone
(209) 558-4752
Mailing Address
800 SCENIC DR MODESTO, CA 95350
Mailing Phone
(209) 525-6225
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-30-2007
Last Update Date
11-04-2016
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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

RICHARD DEGETTE MFT

Authorized Official Title
BEHAVIORAL HEALTH DIRECTOR
Authorized Official Phone
(209) 525-6225

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
5006MEDICAID (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.
1134320856
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164620810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 6 + 2 + 0 + 8 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1134320856 is valid because the calculated check digit 6 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
1710012489MRS. KERI BERBENA RODGERS RN
Individual
Registered Nurse (Psychiatric/Mental Health)2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1508991910 ROGER LOFF MFT
Individual
Marriage & Family Therapist2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1558497305MR. SHAWN JAY KIELY MFT
Individual
Marriage & Family Therapist2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1669501839 AMANDA KAY WEARIN ASW
Individual
Social Worker (Clinical)2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1871625673MRS. SOFIA MARTINEZ BHS II
Individual
Case Manager/Care Coordinator2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1124145404 KATHRYN CATLIN STEWART
Individual
Counselor (Addiction (Substance Use Disorder))2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-4572
1700071586MS. CLAUDIA M TORRES
Individual
Counselor (Mental Health)2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1023297850MRS. MARTHA ANGELICA ESTRADA MFT INTERN
Individual
Marriage & Family Therapist2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5380
1144479015 STEPHANIE WHITEFIELD
Individual
Student in an Organized Health Care Education/Training Program2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1700189685 ERICA DELGADILLO
Individual
Social Worker (Clinical)2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1649531757MS. ANGELA ANTOINETTE MORENO ASW
Individual
Social Worker (Clinical)2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1174920607 JESSICA NICOLE VAN TUINEN
Individual
Technician2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 541-7685
1598194128 VICTORIA GALVAN
Individual
Counselor (Mental Health)2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 505-3819
1255994745 JOSEPH AARON QUISMONDO HERNANDEZ AA HUMAN SERVICES
Individual
Technician2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1043652944 SCOTT MICHAEL CHARLTON
Individual
Counselor (Professional)2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 573-1981
1235539859 LISA CORTEZ LCSW
Individual
Social Worker (Clinical)2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 567-4766
1184926909 LACEY WEST MA
Individual
Marriage & Family Therapist2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 567-4765
1306964515MR. KENNETH ALLEN DUNCAN M.S., MFT
Individual
Marriage & Family Therapist2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401
1174651236COUNTY OF STANISLAUS
Organization
Community/Behavioral Health2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-6225
1972942746 MONICA LEON
Individual
Case Manager/Care Coordinator2215 BLUE GUM AVE
MODESTO, CA 95358
(209) 525-5401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134320856, enumerated in the NPI registry as an "organization" on May 30, 2007

The provider is located at 2215 Blue Gum Ave Modesto, Ca 95358 and the phone number is (209) 558-4752

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 May 30, 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.