THE NEW BEGINNING FELLOWSHIP CENTER
NPI 1104826072
Psychologist - Addiction (Substance Use Disorder) in Fountain Valley, CA
NPI Status: Active since July 21, 2005
Contact Information
16581 BROOKHURST ST
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 839-2515
Fax: (714) 839-5501
- Organization
- Psychologist
- Addiction (Substance Use Disorder)
- CLIA Number: 05D2166353
- CLIA Cert. Type: Other - SUBSTANCE ABUSE
- CLIA Exp. Date: 05-15-2027
About THE NEW BEGINNING FELLOWSHIP CENTER
This page provides the complete NPI Profile along with additional information for The New Beginning Fellowship Center, a provider established in Fountain Valley, California operating as a Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1104826072 assigned on July 2005. The practitioner's primary taxonomy code is 103TA0400X with license number 300120BN (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Alonzo Mitchell (Ceo)
- NPI
- 1104826072
- Provider Name
- THE NEW BEGINNING FELLOWSHIP CENTER
- Entity Type
- Organization
- Location Address
- 16581 BROOKHURST ST FOUNTAIN VALLEY, CA 92708
- Location Phone
- (714) 839-2515
- Location Fax
- (714) 839-5501
- Mailing Address
- 16581 BROOKHURST ST FOUNTAIN VALLEY, CA 92708
- Mailing Phone
- (714) 839-2515
- Mailing Fax
- (714) 839-5501
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-21-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Psychologist Addiction (Substance Use Disorder)
- Taxonomy Code
- 103TA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 300120BN
- License State
- CA
- Taxonomy Description
- A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | 300120AN (CA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300120AN | OTHER (01) | CA | DEPT OF ALCOHOL AND DRUG |
| 300120BN | OTHER (01) | CA | DEPT OF ALCOHOL & DRUG |
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
- 05D2166353
- Facility Type
- Other - SUBSTANCE ABUSE
- Certificate Effective Date
- May 16, 2025
- Certificate Expiration Date
- May 15, 2027
- Laboratory Director
- PRAKASH BONDADE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The New Beginning Fellowship Center 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 1104826072, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FOUNTAIN VALLEY, CA 92708
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104826072, enumerated as an "organization" on July 21, 2005.
The provider is located at 16581 BROOKHURST ST FOUNTAIN VALLEY, CA 92708 and the phone number is (714) 839-2515.
Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
