LEROY HAYNES CENTER
NPI 1164548236
Community Based Residential Treatment Facility, Mental Illness in La Verne, CA
NPI Status: Active since March 21, 2007
Contact Information
1350 3RD ST
LA VERNE, CA
ZIP 91750
Phone: (909) 593-2581
Fax: (909) 596-3567
- Organization
- Community Based Residential Treatment Fa...
About LEROY HAYNES CENTER
This page provides the complete NPI Profile along with additional information for Leroy Haynes Center, a provider established in La Verne, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1164548236 assigned on March 2007. The practitioner's primary taxonomy code is 320800000X with license number 191501972 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Leroy Haynes Center. The authorized official of this NPI record is Mr. Daniel S. Maydeck (Chief Executive Officer)
- NPI
- 1164548236
- Provider Legal Name
- HAYNES FAMILY OF PROGRAMS
- Other Organization Name
- LEROY HAYNES CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1350 3RD ST LA VERNE, CA 91750
- Location Phone
- (909) 593-2581
- Location Fax
- (909) 596-3567
- Mailing Address
- 1350 3RD ST LA VERNE, CA 91750
- Mailing Phone
- (909) 593-2581
- Mailing Fax
- (909) 596-3567
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-21-2007
- Last Update Date
- 04-12-2021
- Code Navigator
Location Map
Secondary Locations
- 1025 Sentinel Dr Ste 200 & 206
LA Verne, CA 91750
(909) 833-2986
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 Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- 191501972
- License State
- CA
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst |
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.
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 |
|---|---|---|---|
| 7565A | OTHER (01) | CA | OUTPATIENT MENTAL HEALTH |
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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 | 1 | 6 | 4 | 5 | 4 | 8 | 2 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 10 | 4 | 16 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 0 + 4 + 1 + 6 + 2 + 6 + 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 = 6 | 6 | ||||||||
The NPI number 1164548236 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 |
|---|---|---|---|
| 1861521924 | MRS. MINI DIBLASI M.S. Individual | Marriage & Family Therapist | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1053440834 | SOPHIA-DIAHN NCHELEM NWANODI ASW Individual | Social Worker | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1063541035 | MS. ELIZABETH DIANA TOWERS MSW Individual | Social Worker | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1457480386 | MISS PRINCESS LEIA LOBOS MSW INTERN Individual | Counselor | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1972632727 | PAULA Y RANDLE LMFT Individual | Marriage & Family Therapist | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1376672477 | MR. MICHAEL P MILLER LMFT Individual | Marriage & Family Therapist | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1770612764 | MS. MARIA GUADALUPE RAMIREZ MSW Individual | Social Worker | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1487773586 | MRS. CASSANDRA ILENE LA VALLIE Individual | Counselor | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1093834178 | MRS. ANGIE CANALES H.S. Individual | Counselor (Mental Health) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1063532505 | MS. BEVERLY ANN FEATHERSTON KCSW Individual | Social Worker (Clinical) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1144340464 | DR. JEFFREY KROPF PH.D. Individual | Psychologist (Clinical) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1679769244 | NANCY LILIANA ARMENTA BA Individual | Counselor (Mental Health) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1144498577 | JASMINE MONIQUE GRIFFIS BA Individual | Counselor (Mental Health) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1598911018 | IRENE VAZQUEZ Individual | Marriage & Family Therapist | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1144471145 | NANCY TREJO Individual | Counselor (Mental Health) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1215188222 | EDITH G CRUZ Individual | Counselor (Mental Health) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1497907125 | MRS. AMALIA GARCIA M.A. Individual | Marriage & Family Therapist | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1023320454 | VANESSA JIMENEZ BACHELORS Individual | Counselor (Mental Health) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1417125840 | MS. VANESSA HILARY ODEN MSW Individual | Counselor (Mental Health) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
| 1386954824 | RYAN ROSS MSW Individual | Counselor (Mental Health) | 1350 3RD ST LA VERNE, CA 91750 (909) 596-5921 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164548236, enumerated in the NPI registry as an "organization" on March 21, 2007
The provider is located at 1350 3rd St La Verne, Ca 91750 and the phone number is (909) 593-2581
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
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 March 21, 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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