BENCHMARK YOUNG ADULT SCHOOL, INC.
NPI 1194585547
Psychiatric Residential Treatment Facility in Montclair, CA

NPI Status: Active since March 21, 2024

Contact Information

10132 CAMULOS AVE
MONTCLAIR, CA
ZIP 91763
Phone: (909) 686-6056

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 05D2316028
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 12-25-2026

About BENCHMARK YOUNG ADULT SCHOOL, INC.

This page provides the complete NPI Profile along with additional information for Benchmark Young Adult School, Inc., a provider established in Montclair, California operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1194585547 assigned on March 2024. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Thomas Mcnulty Pharmd (Partner)

NPI
1194585547
Provider Name
BENCHMARK YOUNG ADULT SCHOOL, INC.
Entity Type
Organization
Location Address
10132 CAMULOS AVE MONTCLAIR, CA 91763
Location Phone
(909) 686-6056
Mailing Address
1910 ORANGE TREE LN STE 300 REDLANDS, CA 92374
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2024
Last Update Date
03-21-2024
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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

DR. THOMAS MCNULTY PHARMD

Authorized Official Title
PARTNER
Authorized Official Phone
(818) 209-5011

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
05D2316028
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
December 26, 2024
Certificate Expiration Date
December 25, 2026
Laboratory Director
JASON GILES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Benchmark Young Adult School, Inc. 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.
1194585547
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841081058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 0 + 8 + 1 + 0 + 5 + 8 + 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 1194585547 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194585547, enumerated in the NPI registry as an "organization" on March 21, 2024

The provider is located at 10132 Camulos Ave Montclair, Ca 91763 and the phone number is (909) 686-6056

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

The provider's CLIA number is 05D2316028 for a "ancillary testing site in health care center" 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 March 21, 2024. 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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