PENINSULA CENTER FOR CHILDREN AND FAMILIES
NPI 1063972263
Social Worker - Clinical in Rolling Hills Estates, CA

NPI Status: Active since March 22, 2019

Contact Information

655 DEEP VALLEY DR STE 220
ROLLING HILLS ESTATES, CA
ZIP 90274
Phone: (310) 936-1324

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  • Organization
  • Social Worker
  • Clinical
  • CLIA Number: 05D2323464
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 05-06-2027

About PENINSULA CENTER FOR CHILDREN AND FAMILIES

This page provides the complete NPI Profile along with additional information for Peninsula Center For Children And Families, a provider established in Rolling Hills Estates, California operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1063972263 assigned on March 2019. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated one year ago. Peninsula Center For Children And Families operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Julie Payne (Ceo)

NPI
1063972263
Provider Name
PENINSULA CENTER FOR CHILDREN AND FAMILIES
Entity Type
Organization
Location Address
655 DEEP VALLEY DR STE 220 ROLLING HILLS ESTATES, CA 90274
Location Phone
(310) 936-1324
Mailing Address
655 DEEP VALLEY DR STE 220 ROLLING HILLS ESTATES, CA 90274
Mailing Phone
(310) 936-1324
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-22-2019
Last Update Date
09-11-2025
Code Navigator

A clinical social worker like Peninsula Center For Children And Families is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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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

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MRS. JULIE PAYNE

Authorized Official Title
CEO
Authorized Official Phone
(310) 936-1324

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
05D2323464
Facility Type
Assisted Living Facility
Certificate Effective Date
May 07, 2025
Certificate Expiration Date
May 06, 2027
Laboratory Director
EPIFANIO DELEON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peninsula Center For Children And Families 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063972263, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 8 + 7 + 4 + 2 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1063972263.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Marriage & Family Therapist
655 DEEP VALLEY DR STE 220
ROLLING HILLS ESTATES, CA 90274
Counselor (Mental Health)
655 DEEP VALLEY DR STE 220
ROLLING HILLS ESTATES, CA 90274
Marriage & Family Therapist
655 DEEP VALLEY DR STE 220
ROLLING HILLS ESTATES, CA 90274

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063972263, enumerated as an "organization" on March 22, 2019.

The provider is located at 655 DEEP VALLEY DR STE 220 ROLLING HILLS ESTATES, CA 90274 and the phone number is (310) 936-1324.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.