NEWPORT ACADEMY-ARENA
NPI 1245804582
Psychiatric Residential Treatment Facility in Pleasanton, CA

NPI Status: Active since May 19, 2021

Contact Information

5530 JOHNSTON RD
PLEASANTON, CA
ZIP 94588
Phone: (714) 202-5166
Fax: (844) 721-8190

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 05D2242357
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 11-07-2025

About NEWPORT ACADEMY-ARENA

This page provides the complete NPI Profile along with additional information for Newport Academy-arena, a provider established in Pleasanton, California operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1245804582 assigned on May 2021. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Newport Academy-arena. The authorized official of this NPI record is Joseph A Procopio (Ceo)

NPI
1245804582
Provider Legal Name
MONROE OPERATIONS, LLC
Other Organization Name
NEWPORT ACADEMY-ARENA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5530 JOHNSTON RD PLEASANTON, CA 94588
Location Phone
(714) 202-5166
Location Fax
(844) 721-8190
Mailing Address
L-3969 COLUMBUS, OH 43260
Mailing Phone
(714) 202-5166
Mailing Fax
(844) 721-8190
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-19-2021
Last Update Date
08-23-2023
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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)
13245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

 

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

JOSEPH A PROCOPIO

Authorized Official Title
CEO
Authorized Official Phone
(949) 432-4622

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
05D2242357
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
November 08, 2023
Certificate Expiration Date
November 07, 2025
Laboratory Director
DANA FUTORAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Newport Academy-arena 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 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.
1245804582
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851608516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 0 + 8 + 5 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1245804582 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245804582, enumerated as an "organization" on May 19, 2021.

The provider is located at 5530 JOHNSTON RD PLEASANTON, CA 94588 and the phone number is (714) 202-5166.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.