ORANGE COUNTY REVIVE SERVICES, INC.
NPI 1306543962
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake Forest, CA

NPI Status: Active since February 14, 2023

Contact Information

23726 BIRTCHER DR
LAKE FOREST, CA
ZIP 92630
Phone: (949) 606-4681

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About ORANGE COUNTY REVIVE SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Orange County Revive Services, Inc., a provider established in Lake Forest, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1306543962 assigned on February 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Tyler Michaelis (Ceo)

NPI
1306543962
Provider Name
ORANGE COUNTY REVIVE SERVICES, INC.
Entity Type
Organization
Location Address
23726 BIRTCHER DR LAKE FOREST, CA 92630
Location Phone
(949) 606-4681
Mailing Address
23726 BIRTCHER DR LAKE FOREST, CA 92630
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-14-2023
Last Update Date
02-14-2023
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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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

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

TYLER MICHAELIS

Authorized Official Title
CEO
Authorized Official Phone
(949) 606-4681

Reviews for ORANGE COUNTY REVIVE SERVICES, INC.

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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.
1306543962
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23061046912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 0 + 4 + 6 + 9 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1306543962 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629543863CREST RECOVERY LLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)23726 BIRTCHER DR
LAKE FOREST, CA 92630
(949) 283-4679

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306543962, enumerated in the NPI registry as an "organization" on February 14, 2023

The provider is located at 23726 Birtcher Dr Lake Forest, Ca 92630 and the phone number is (949) 606-4681

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on February 14, 2023. 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.