OLYMPIA HOUSE
NPI 1760732002
Substance Abuse Rehabilitation Facility in Petaluma, CA

NPI Status: Active since September 13, 2012

Contact Information

11207 VALLEY FORD RD
PETALUMA, CA
ZIP 94952
Phone: (707) 795-7609

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  • Organization
  • Substance Abuse Rehabilitation Facility

About OLYMPIA HOUSE

This page provides the complete NPI Profile along with additional information for Olympia House, a provider established in Petaluma, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1760732002 assigned on September 2012. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Olympia House. The authorized official of this NPI record is Dr. Wayne C Thurston Psy.d. (Managing Member/executive Director)

NPI
1760732002
Provider Legal Name
SONOMA RECOVERY SERVICES, LLC
Other Organization Name
OLYMPIA HOUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
11207 VALLEY FORD RD PETALUMA, CA 94952
Location Phone
(707) 795-7609
Mailing Address
11207 VALLEY FORD RD PETALUMA, CA 94952
Mailing Phone
(707) 795-7609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2012
Last Update Date
09-13-2012
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License State
CA
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

DR. WAYNE C THURSTON PSY.D.

Authorized Official Title
MANAGING MEMBER/EXECUTIVE DIRECTOR
Authorized Official Phone
(707) 795-7609

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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.
1760732002
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120143400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 3 + 4 + 0 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1760732002 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
1184213183DR. VIRGINIA MARIE BASSI PHD
Individual
Psychologist (Clinical)11207 VALLEY FORD RD
PETALUMA, CA 94952
(707) 335-7503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760732002, enumerated in the NPI registry as an "organization" on September 13, 2012

The provider is located at 11207 Valley Ford Rd Petaluma, Ca 94952 and the phone number is (707) 795-7609

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on September 13, 2012. 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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