PROMESA BEHAVIORAL HEALTH-SPRUCE
NPI 1154816411
Community Based Residential Treatment Facility, Mental Illness in Fresno, CA

NPI Status: Active since June 28, 2018

Contact Information

775 E SPRUCE AVE
FRESNO, CA
ZIP 93720
Phone: (559) 439-5437

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  • Organization
  • Community Based Residential Treatment Fa...

About PROMESA BEHAVIORAL HEALTH-SPRUCE

This page provides the complete NPI Profile along with additional information for Promesa Behavioral Health-spruce, a provider established in Fresno, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1154816411 assigned on June 2018. The practitioner's primary taxonomy code is 320800000X with license number 100406294 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Promesa Behavioral Health-spruce. The authorized official of this NPI record is Amanda Irene Reed Lmft (Director)

NPI
1154816411
Provider Legal Name
PROMESA BEHAVIORAL HEALTH
Other Organization Name
PROMESA BEHAVIORAL HEALTH-SPRUCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
775 E SPRUCE AVE FRESNO, CA 93720
Location Phone
(559) 439-5437
Mailing Address
7120 N MARKS AVE STE 110 FRESNO, CA 93711
Mailing Phone
(559) 341-2394
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2018
Last Update Date
09-05-2024
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
100406294
License State
CA
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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.

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

AMANDA IRENE REED LMFT

Authorized Official Title
DIRECTOR
Authorized Official Phone
(559) 439-5437

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
101044MEDICAID (05)CA 

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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 1154816411, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 5 → 10 → 1 8 → 16 → 7 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 2 + 4 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154816411.

Other Providers at the Same Location


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

Counselor
775 E SPRUCE AVE
FRESNO, CA 93720
Counselor
775 E SPRUCE AVE
FRESNO, CA 93720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154816411, enumerated as an "organization" on June 28, 2018.

The provider is located at 775 E SPRUCE AVE FRESNO, CA 93720 and the phone number is (559) 439-5437.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.