CENTER FOR CHILD & YOUTH PSYCHIATRY
NPI 1205549946
Clinic/Center - Adolescent and Children Mental Health in San Diego, CA
NPI Status: Active since December 27, 2022
Contact Information
8825 AERO DR STE 305
SAN DIEGO, CA
ZIP 92123
Phone: (619) 571-1964
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- CLIA Number: 05D2305840
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-05-2026
About CENTER FOR CHILD & YOUTH PSYCHIATRY
This page provides the complete NPI Profile along with additional information for Center For Child & Youth Psychiatry, a provider established in San Diego, California operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1205549946 assigned on December 2022. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Center For Child & Youth Psychiatry. The authorized official of this NPI record is Robert Emery Dean (President & Ceo)
- NPI
- 1205549946
- Provider Legal Name
- VISTA HILL FOUNDATION
- Other Organization Name
- CENTER FOR CHILD & YOUTH PSYCHIATRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8825 AERO DR STE 305 SAN DIEGO, CA 92123
- Location Phone
- (619) 571-1964
- Mailing Address
- 8910 CLAIREMONT MESA BLVD SAN DIEGO, CA 92123
- Mailing Phone
- (858) 514-5121
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2022
- Last Update Date
- 09-05-2024
- 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.
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
- 05D2305840
- Facility Type
- Hospital
- Certificate Effective Date
- June 06, 2024
- Certificate Expiration Date
- June 05, 2026
- Laboratory Director
- DENISE M. MALICKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Center For Child & Youth Psychiatry 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 | 2 | 0 | 5 | 5 | 4 | 9 | 9 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 10 | 4 | 18 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 0 + 4 + 1 + 8 + 9 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1205549946 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043846272 | DANIEL RAFAEL MARTINEZ Individual | Case Manager/Care Coordinator | 8825 AERO DR STE 305 SAN DIEGO, CA 92123 (858) 378-2093 |
| 1356105613 | VISTA HILL FOUNDATION Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 8825 AERO DR STE 305 SAN DIEGO, CA 92123 (858) 956-5900 |
| 1326305988 | JENNIFER LEEVONNE LARSON Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 8825 AERO DR STE 305 SAN DIEGO, CA 92123 (858) 571-1964 |
| 1659078509 | BRENDA YARETT PEREZ Individual | Rehabilitation Practitioner | 8825 AERO DR STE 305 SAN DIEGO, CA 92123 (858) 514-5144 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205549946, enumerated in the NPI registry as an "organization" on December 27, 2022
The provider is located at 8825 Aero Dr Ste 305 San Diego, Ca 92123 and the phone number is (619) 571-1964
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 05D2305840 for a "hospital" 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 27, 2022. 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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