DYNAMIC BEHAVIORAL HEALTH
NPI 1881317485
Community Based Residential Treatment Facility, Mental Illness in Tarzana, CA

NPI Status: Active since September 20, 2022

Contact Information

5705 SHIRLEY AVENEUE
TARZANA, CA
ZIP 91356
Phone: (818) 299-3602
Fax: (805) 830-1565

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 05D2284685
  • CLIA Cert. Type: Other - MENTAL HEALTH RESIDENTIAL
  • CLIA Exp. Date: 06-26-2025

About DYNAMIC BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Dynamic Behavioral Health, a provider established in Tarzana, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1881317485 assigned on September 2022. The practitioner's primary taxonomy code is 320800000X. 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 Joann Zuniga (Director)

NPI
1881317485
Provider Name
DYNAMIC BEHAVIORAL HEALTH
Entity Type
Organization
Location Address
5705 SHIRLEY AVENEUE TARZANA, CA 91356
Location Phone
(818) 299-3602
Location Fax
(805) 830-1565
Mailing Address
203 S ORANGE DR LOS ANGELES, CA 90036
Mailing Phone
(818) 299-3602
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2022
Last Update Date
09-20-2022
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with 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

JOANN ZUNIGA

Authorized Official Title
DIRECTOR
Authorized Official Phone
(805) 437-6515

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
05D2284685
Facility Type
Other - MENTAL HEALTH RESIDENTIAL
Certificate Effective Date
June 27, 2023
Certificate Expiration Date
June 26, 2025
Laboratory Director
BRADLEY ZEHRING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dynamic Behavioral Health 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.
1881317485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281616114416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 6 + 1 + 1 + 4 + 4 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1881317485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881317485, enumerated in the NPI registry as an "organization" on September 20, 2022

The provider is located at 5705 Shirley Aveneue Tarzana, Ca 91356 and the phone number is (818) 299-3602

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

The provider's CLIA number is 05D2284685 for a "other - mental health residential" 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 September 20, 2022. 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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