PROMESA BEHAVIORAL HEALTH-BARSTOW
NPI 1245725506
Community Based Residential Treatment Facility, Mental Illness in Fresno, CA
NPI Status: Active since June 28, 2018
Contact Information
1415 W BARSTOW AVE
FRESNO, CA
ZIP 93711
Phone: (559) 439-5437
- Organization
- Community Based Residential Treatment Fa...
About PROMESA BEHAVIORAL HEALTH-BARSTOW
This page provides the complete NPI Profile along with additional information for Promesa Behavioral Health-barstow, a provider established in Fresno, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1245725506 assigned on June 2018. The practitioner's primary taxonomy code is 320800000X with license number 107200789 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Promesa Behavioral Health-barstow. The authorized official of this NPI record is Amanda Irene Reed Lmft (Director)
- NPI
- 1245725506
- Provider Legal Name
- PROMESA BEHAVIORAL HEALTH
- Other Organization Name
- PROMESA BEHAVIORAL HEALTH-BARSTOW
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1415 W BARSTOW AVE FRESNO, CA 93711
- Location Phone
- (559) 439-5437
- Mailing Address
- 7120 N MARKS AVE STE 110 FRESNO, CA 93711
- Mailing Phone
- (559) 341-2394
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-28-2018
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- 107200789
- License State
- CA
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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.
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 |
|---|---|---|---|
| 101044 | MEDICAID (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. | |||||||||
| 1 | 2 | 4 | 5 | 7 | 2 | 5 | 5 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 2 | 10 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 2 + 1 + 0 + 5 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1245725506 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740845353 | CHRISTIAN EMILIO OLIVAS Individual | Counselor (Mental Health) | 1415 W BARSTOW AVE FRESNO, CA 93711 (559) 577-0822 |
| 1962044339 | JANINE MORA Individual | Counselor | 1415 W BARSTOW AVE FRESNO, CA 93711 (559) 438-9344 |
| 1912616947 | CASSANDRA LEA PARKER Individual | Counselor | 1415 W BARSTOW AVE FRESNO, CA 93711 (559) 438-9344 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245725506, enumerated in the NPI registry as an "organization" on June 28, 2018
The provider is located at 1415 W Barstow Ave Fresno, Ca 93711 and the phone number is (559) 439-5437
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
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 June 28, 2018. 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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