PSYCHIATRIC LIASON CLINIC
NPI 1174734677
Community/Behavioral Health in Modesto, CA

NPI Status: Active since May 25, 2007

Contact Information

920 12TH ST
MODESTO, CA
ZIP 95354
Phone: (209) 558-4081

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  • Organization
  • Community/Behavioral Health

About PSYCHIATRIC LIASON CLINIC

This page provides the complete NPI Profile along with additional information for Psychiatric Liason Clinic, a provider established in Modesto, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1174734677 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 5 years ago. The provider's other name is Psychiatric Liason Clinic. The authorized official of this NPI record is Denise C Hunt Rn, Mft (Behavioral Health Director)

NPI
1174734677
Provider Legal Name
STANISLAUS COUNTY
Other Organization Name
PSYCHIATRIC LIASON CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
920 12TH ST MODESTO, CA 95354
Location Phone
(209) 558-4081
Mailing Address
800 SCENIC DR MODESTO, CA 95350
Mailing Phone
(209) 558-4752
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2007
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

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

DENISE C HUNT RN, 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
50AVMEDICAID (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.
1174734677
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441438614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 4 + 3 + 8 + 6 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1174734677 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205968823 RAMIRO PORRAS
Individual
Counselor (Mental Health)920 12TH ST
MODESTO, CA 95354
(209) 558-4081
1811020373 THOMAS MICHAEL BUCKLES
Individual
Counselor (Addiction (Substance Use Disorder))920 12TH ST
MODESTO, CA 95354
(209) 558-4081
1114222874DISABILITY RESOURCE AGENCY FOR INDEPENDENT LIVING
Organization
Case Management920 12TH ST
MODESTO, CA 95354
(209) 521-7260
1205965597STANISLAUS COUNTY
Organization
Community/Behavioral Health920 12TH ST
MODESTO, CA 95354
(209) 558-4081
1710585484 LISETTE MACIEL-HERNANDEZ
Individual
Counselor (Mental Health)920 12TH ST
MODESTO, CA 95354
(209) 524-6371
1548092026 LARINDA CARRIER LPCC
Individual
Counselor (Mental Health)920 12TH ST
MODESTO, CA 95354
(209) 524-6371

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174734677, enumerated in the NPI registry as an "organization" on May 25, 2007

The provider is located at 920 12th St Modesto, Ca 95354 and the phone number is (209) 558-4081

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 25, 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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