THE HARBOR ON MAIN
NPI 1336387455
Community/Behavioral Health in Lakeport, CA

NPI Status: Active since January 27, 2009

Contact Information

150 S MAIN ST
LAKEPORT, CA
ZIP 95453
Phone: (707) 994-5486

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  • Organization
  • Community/Behavioral Health

About THE HARBOR ON MAIN

This page provides the complete NPI Profile along with additional information for The Harbor On Main, a provider established in Lakeport, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1336387455 assigned on January 2009. The practitioner's primary taxonomy code is 251S00000X. 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 provider's other name is The Harbor On Main. The authorized official of this NPI record is Mrs. Victoria Jerusha Kelly Lmft (Chief Executive Officer)

NPI
1336387455
Provider Legal Name
REDWOOD COMMUNITY SERVICES, INC.
Other Organization Name
THE HARBOR ON MAIN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
150 S MAIN ST LAKEPORT, CA 95453
Location Phone
(707) 994-5486
Mailing Address
PO BOX 2077 UKIAH, CA 95482
Mailing Phone
(707) 467-2010
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-27-2009
Last Update Date
02-12-2020
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Location Map

Secondary Locations

  • 16170 Main Street Suite F
    Lower Lake, CA 95457
    (707) 994-5486

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/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
4171M00000XOther Service Providers

Case Manager/Care Coordinator

 
5171W00000XOther Service Providers

Contractor

 
6251B00000XAgencies

Case Management

 

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.

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. VICTORIA JERUSHA KELLY LMFT

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(707) 467-2010

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
17CCOTHER (01)CALAKE CO MH SITE #

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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 1336387455, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 3 → 6 3 → 6 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 6 + 8 + 1 + 4 + 4 + 1 + 0 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1336387455.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
150 S MAIN ST
LAKEPORT, CA 95453
Peer Specialist
150 S MAIN ST
LAKEPORT, CA 95453
Day Training/Habilitation Specialist
150 S MAIN ST
LAKEPORT, CA 95453
Day Training/Habilitation Specialist
150 S MAIN ST
LAKEPORT, CA 95453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336387455, enumerated as an "organization" on January 27, 2009.

The provider is located at 150 S MAIN ST LAKEPORT, CA 95453 and the phone number is (707) 994-5486.

Community/Behavioral Health with taxonomy code 251S00000X.

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