HIGH RISK EARLY INTERVENTION (INCREDIBLE KIDS)
NPI 1225103179
Community/Behavioral Health in Riverside, CA

NPI Status: Active since November 22, 2006

Contact Information

3075 MYERS ST
RIVERSIDE, CA
ZIP 92503
Phone: (951) 413-5678
Fax: (951) 413-5660

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  • Organization
  • Community/Behavioral Health

About HIGH RISK EARLY INTERVENTION (INCREDIBLE KIDS)

This page provides the complete NPI Profile along with additional information for High Risk Early Intervention (incredible Kids), a provider established in Riverside, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1225103179 assigned on November 2006. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as High Risk Early Intervention (incredible Kids). The authorized official of this NPI record is Dr. Matthew Chang (Director Ruhs - Behavioral Health)

NPI
1225103179
Provider Legal Name
COUNTY OF RIVERSIDE
Other Organization Name
HIGH RISK EARLY INTERVENTION (INCREDIBLE KIDS)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3075 MYERS ST RIVERSIDE, CA 92503
Location Phone
(951) 413-5678
Location Fax
(951) 413-5660
Mailing Address
PO BOX 7549 RIVERSIDE, CA 92513
Mailing Phone
(951) 358-6900
Mailing Fax
(951) 413-5660
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2006
Last Update Date
09-09-2022
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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

DR. MATTHEW CHANG

Authorized Official Title
DIRECTOR RUHS - BEHAVIORAL HEALTH
Authorized Official Phone
(951) 358-4501

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
33FJMEDICAID (05)CA 

Reviews for HIGH RISK EARLY INTERVENTION (INCREDIBLE KIDS)

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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.
1225103179
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245206114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 2 + 0 + 6 + 1 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1225103179 is valid because the calculated check digit 9 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
1013034057 VANESSA TORRES HURTADO MSW
Individual
Social Worker (Clinical)3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-6895
1609046713MS. BRENDA L PALACIOS M.S.
Individual
Marriage & Family Therapist3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-6895
1861816472 BREANN SCHMIDT B.S.
Individual
Counselor (Mental Health)3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-5730
1922474329 LORINE HERNANDEZ
Individual
Case Manager/Care Coordinator3075 MYERS ST
RIVERSIDE, CA 92503
(909) 289-6546
1558737924 KYLA BURDETTE
Individual
Case Manager/Care Coordinator3075 MYERS ST
RIVERSIDE, CA 92503
(951) 500-9439
1851760748 SAMANTHA DUARTE
Individual
Counselor (Addiction (Substance Use Disorder))3075 MYERS ST
RIVERSIDE, CA 92503
(909) 233-1338
1265881122 JENNIFER MARIE POPOFF
Individual
Marriage & Family Therapist3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-4625
1760838973 NELDA ITUARTE
Individual
Marriage & Family Therapist3075 MYERS ST
RIVERSIDE, CA 92503
(951) 955-7108
1629495429 RUXANDRA ELENA TANASE ACSW
Individual
Social Worker3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-4615
1235649484 OSCHAREA BEVERLY
Individual
Peer Specialist3075 MYERS ST
RIVERSIDE, CA 92503
(951) 955-7829
1992207682 KELLIE HESTER
Individual
Marriage & Family Therapist3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-4625
1619459286 ANGELICA M CORONADO
Individual
Case Manager/Care Coordinator3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-6895
1518005081DR. JEANNE JACKSON RAYNES PH.D.
Individual
Psychologist (Clinical)3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-6895
1487210423MRS. LAUREN ANGELIQUE WAKOSKI
Individual
Counselor (Mental Health)3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-4625
1235796046 ASHLEY LARISSA LEYVA NAJERA
Individual
Counselor (Mental Health)3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-4625
1508045014 ISABEL SANTILLI MS
Individual
Marriage & Family Therapist3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-6874
1790311595MISS JESSICA MERCADO ANAZAGASTY MFT
Individual
Marriage & Family Therapist3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-6895
1881156115 ANA DAISY MORENO
Individual
Marriage & Family Therapist3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-4625
1568087054 MARIAH DESIREE DURAN-NOVELLA
Individual
Case Manager/Care Coordinator3075 MYERS ST
RIVERSIDE, CA 92503
(951) 415-4644
1083239479 KYLA MARIE ARDISON
Individual
Counselor (Mental Health)3075 MYERS ST
RIVERSIDE, CA 92503
(951) 358-6895

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225103179, enumerated in the NPI registry as an "organization" on November 22, 2006

The provider is located at 3075 Myers St Riverside, Ca 92503 and the phone number is (951) 413-5678

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 November 22, 2006. 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.