CALIFORNIA BEHAVIORAL HEALTH, LLC
NPI 1710443940
Clinic/Center - Rehabilitation, Substance Use Disorder in Cathedral City, CA

NPI Status: Active since February 12, 2019

Contact Information

37066 BANKSIDE DR
CATHEDRAL CITY, CA
ZIP 92234
Phone: (760) 459-3736
Fax: (760) 459-3607

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 05D2171767
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 09-08-2025

About CALIFORNIA BEHAVIORAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for California Behavioral Health, Llc, a provider established in Cathedral City, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1710443940 assigned on February 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Melissa Legere Lmft (Chief Operating Officer)

NPI
1710443940
Provider Name
CALIFORNIA BEHAVIORAL HEALTH, LLC
Entity Type
Organization
Location Address
37066 BANKSIDE DR CATHEDRAL CITY, CA 92234
Location Phone
(760) 459-3736
Location Fax
(760) 459-3607
Mailing Address
67782 E PALM CANYON DR STE B104-205 CATHEDRAL CITY, CA 92234
Mailing Phone
(760) 459-3736
Mailing Fax
(760) 459-3607
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2019
Last Update Date
09-29-2020
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

MELISSA LEGERE LMFT

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(951) 764-3950

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2171767
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
September 09, 2023
Certificate Expiration Date
September 08, 2025
Laboratory Director
MICHAEL S. VALDEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to California Behavioral Health, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1710443940
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272084698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 8 + 4 + 6 + 9 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710443940 is valid because the calculated check digit 0 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
1780008243SERENITY PALMS AN IRECOVER TREATMENT CENTERS INC.
Organization
Substance Abuse Rehabilitation Facility37066 BANKSIDE DR
CATHEDRAL CITY, CA 92234
(866) 761-6007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710443940, enumerated in the NPI registry as an "organization" on February 12, 2019

The provider is located at 37066 Bankside Dr Cathedral City, Ca 92234 and the phone number is (760) 459-3736

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The provider's CLIA number is 05D2171767 for a "comp. outpatient rehab facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 12, 2019. 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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