FAMILY SERVICE AGENCY OF SAN BERNARDINO
NPI 1245680735
Community/Behavioral Health in Adelanto, CA

NPI Status: Active since June 15, 2016

Contact Information

11424 CHAMBERLAINE WAY
SUITE 11-12
ADELANTO, CA
ZIP 92301
Phone: (909) 886-6737
Fax: (909) 881-3871

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  • Organization
  • Community/Behavioral Health

About FAMILY SERVICE AGENCY OF SAN BERNARDINO

This page provides the complete NPI Profile along with additional information for Family Service Agency Of San Bernardino, a provider established in Adelanto, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1245680735 assigned on June 2016. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ms. Patrice J Cormican (Ceo)

NPI
1245680735
Provider Name
FAMILY SERVICE AGENCY OF SAN BERNARDINO
Entity Type
Organization
Location Address
11424 CHAMBERLAINE WAY SUITE 11-12 ADELANTO, CA 92301
Location Phone
(909) 886-6737
Location Fax
(909) 881-3871
Mailing Address
1669 N E ST SAN BERNARDINO, CA 92405
Mailing Phone
(909) 886-6737
Mailing Fax
(909) 881-3871
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-15-2016
Last Update Date
06-15-2016
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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.

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

MS. PATRICE J CORMICAN

Authorized Official Title
CEO
Authorized Official Phone
(909) 886-6737

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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.
1245680735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285128076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 2 + 8 + 0 + 7 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1245680735 is valid because the calculated check digit 5 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
1104596774 AMANDA MURRAY
Individual
Student in an Organized Health Care Education/Training Program11424 CHAMBERLAINE WAY
ADELANTO, CA 92301
(949) 330-0568
1245994771 HEATHER LYNN CABREDDY
Individual
Student in an Organized Health Care Education/Training Program11424 CHAMBERLAINE WAY
ADELANTO, CA 92301
(760) 246-0934
1205260486 EBONY NECHOLE JACKSON
Individual
Marriage & Family Therapist11424 CHAMBERLAINE WAY
ADELANTO, CA 92301
(760) 243-0934
1003674987 RANDALL KYLE LYNN
Individual
Day Training/Habilitation Specialist11424 CHAMBERLAINE WAY
ADELANTO, CA 92301
(760) 246-0934

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245680735, enumerated in the NPI registry as an "organization" on June 15, 2016

The provider is located at 11424 Chamberlaine Way Suite 11-12 Adelanto, Ca 92301 and the phone number is (909) 886-6737

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on June 15, 2016. 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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