MS. ALFREDA YVONNE BANTUM M.S.
NPI 1982823944
Counselor - Mental Health in San Bernardino, CA

NPI Status: Active since April 25, 2007

Contact Information

1505 W HIGHLAND AVE STE 17
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 880-9130
Fax: (909) 473-1918

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  • Individual
  • Female
  • Counselor
  • Mental Health

About ALFREDA BANTUM

This page provides the complete NPI Profile along with additional information for Alfreda Bantum, a provider established in San Bernardino, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1982823944 assigned on April 2007. The practitioner's primary taxonomy code is 101YM0800X with license number 55644 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1982823944
Provider Name
MS. ALFREDA YVONNE BANTUM M.S.
Gender
Female
Entity Type
Individual
Location Address
1505 W HIGHLAND AVE STE 17 SAN BERNARDINO, CA 92411
Location Phone
(909) 880-9130
Location Fax
(909) 473-1918
Mailing Address
20426 TOBIRA LN RIVERSIDE, CA 92508
Mailing Phone
(951) 756-9637
Is Sole Proprietor?
Yes
Enumeration Date
04-25-2007
Last Update Date
03-15-2013
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A mental health counselor like Alfreda Bantum provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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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

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
55644
License State
CA

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)
1251S00000XAgencies

Community/Behavioral Health

(CA)

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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.
1982823944
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29162162698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 6 + 2 + 6 + 9 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1982823944 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023237047MS. DEBORAH SCOTT
Individual
Community/Behavioral Health1505 W HIGHLAND AVE STE 17
SAN BERNARDINO, CA 92411
(909) 880-9130
1407248297KNOTTS FAMILY AGENCY
Organization
Foster Care Agency1505 W HIGHLAND AVE STE 17
SAN BERNARDINO, CA 92411
(909) 880-0600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982823944, enumerated in the NPI registry as an "individual" on April 25, 2007

The provider is located at 1505 W Highland Ave Ste 17 San Bernardino, Ca 92411 and the phone number is (909) 880-9130

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on April 25, 2007. 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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