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
- 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
- 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 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) |
---|---|---|---|---|
1 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
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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 | 3 | 0 | 6 | 5 | 4 | 3 | 9 | 6 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 0 | 6 | 10 | 4 | 6 | 9 | 12 | |
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 = 2 | 2 |
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 |
---|---|---|---|
1629543863 | CREST 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].
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