SAN DIEGO STATE UNIVERSITY - HEALTHY EARLY YEARS CLINIC
NPI 1124849658
Counselor in San Diego, CA

NPI Status: Active since October 17, 2024

Contact Information

4283 EL CAJON BLVD
SUITE 200
SAN DIEGO, CA
ZIP 92105
Phone: (619) 530-0122
Fax: (619) 530-0822

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  • Organization
  • Counselor

About SAN DIEGO STATE UNIVERSITY - HEALTHY EARLY YEARS CLINIC

This page provides the complete NPI Profile along with additional information for San Diego State University - Healthy Early Years Clinic, a provider established in San Diego, California operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1124849658 assigned on October 2024. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. San Diego State University - Healthy Early Years Clinic 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 Agnes Wong Nickerson (Associate Vp Of Financial Operation)

NPI
1124849658
Provider Name
SAN DIEGO STATE UNIVERSITY - HEALTHY EARLY YEARS CLINIC
Entity Type
Organization
Location Address
4283 EL CAJON BLVD SUITE 200 SAN DIEGO, CA 92105
Location Phone
(619) 530-0122
Location Fax
(619) 530-0822
Mailing Address
5500 CAMPANILE DR SAN DIEGO, CA 92182
Mailing Phone
(619) 594-6017
Mailing Fax
(619) 530-0822
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-17-2024
Last Update Date
10-17-2024
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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

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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)
1104100000XBehavioral Health & Social Service Providers

Social Worker

 
2106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

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

AGNES WONG NICKERSON

Authorized Official Title
ASSOCIATE VP OF FINANCIAL OPERATION
Authorized Official Phone
(619) 594-6017

Reviews for SAN DIEGO STATE UNIVERSITY - HEALTHY EARLY YEARS CLINIC

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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 1124849658, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 2 → 4 8 → 16 → 7 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 6 + 4 + 1 + 8 + 6 + 1 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1124849658.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Marriage & Family Therapist
4283 EL CAJON BLVD, STE. 115
SAN DIEGO, CA 92105
Case Manager/Care Coordinator
4283 EL CAJON BLVD
SAN DIEGO, CA 92105
Registered Nurse
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105
Case Manager/Care Coordinator
4283 EL CAJON BLVD, STE 115
SAN DIEGO, CA 92105
Case Manager/Care Coordinator
4283 EL CAJON BLVD, 115
SAN DIEGO, CA 92105
Counselor
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105
Counselor (Mental Health)
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105
Registered Nurse
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105
Case Manager/Care Coordinator
4283 EL CAJON BLVD, STE. 115
SAN DIEGO, CA 92105
Registered Nurse
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105
Marriage & Family Therapist
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105
Specialist
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105
Case Manager/Care Coordinator
4283 EL CAJON BLVD, RM 115
SAN DIEGO, CA 92105
Specialist
4283 EL CAJON BLVD, 115
SAN DIEGO, CA 92105
Marriage & Family Therapist
4283 EL CAJON BLVD
SAN DIEGO, CA 92105
Case Manager/Care Coordinator
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105
Counselor
4283 EL CAJON BLVD, STE 115
SAN DIEGO, CA 92105
Marriage & Family Therapist
4283 EL CAJON BLVD
SAN DIEGO, CA 92105
Registered Nurse (Psychiatric/Mental Health)
4283 EL CAJON BLVD, STE 115
SAN DIEGO, CA 92105
Case Manager/Care Coordinator
4283 EL CAJON BLVD, SUITE 115
SAN DIEGO, CA 92105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124849658, enumerated as an "organization" on October 17, 2024.

The provider is located at 4283 EL CAJON BLVD SUITE 200 SAN DIEGO, CA 92105 and the phone number is (619) 530-0122.

Counselor with taxonomy code 101Y00000X.