KINSHIP CENTER
NPI 1336406735
Community Based Residential Treatment Facility, Mental Illness in Tustin, CA

NPI Status: Active since April 23, 2012

Contact Information

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780
Phone: (714) 957-1004

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About KINSHIP CENTER

This page provides the complete NPI Profile along with additional information for Kinship Center, a provider established in Tustin, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1336406735 assigned on April 2012. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Kinship Center. The authorized official of this NPI record is Mr. Ken Berrick (Ceo)

NPI
1336406735
Provider Legal Name
SENECA FAMILY OF AGENCIES
Other Organization Name
KINSHIP CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
18302 IRVINE BLVD STE 300 TUSTIN, CA 92780
Location Phone
(714) 957-1004
Mailing Address
6925 CHABOT RD OAKLAND, CA 94618
Mailing Phone
(510) 654-4004
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2012
Last Update Date
04-23-2012
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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
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

MR. KEN BERRICK

Authorized Official Title
CEO
Authorized Official Phone
(510) 654-4004

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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.
1336406735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366801276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 8 + 0 + 1 + 2 + 7 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1336406735 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MR. JOSE E. GARCIA B.A.

Counselor

(Mental Health)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8616

MRS. JEANETTE DANIELLE BARRETO B.A.

Counselor

(Mental Health)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8610

KINSHIP CENTER

Community/Behavioral Health

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8600

CYNTHIA GUTIERREZ MEJIA

Counselor

(Mental Health)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8659

CAROL L DAVIS

Counselor

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8617

MISS MURSEL Z AZAR M.A.

Marriage & Family Therapist

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(949) 235-0939

MISS KATHERINE D VAN ALLEN

In Home Supportive Care

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 957-1004

SHERIE DECHTER LCSW

Social Worker

(Clinical)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8698

SULLY REYES

Behavior Analyst

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8664

MARY TRUONG

Technician, Health Information

(Assistant Record Technician)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 957-1004

SHANNON MARIE BADGER

Counselor

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8645

MICHELLE ALABRAN

Marriage & Family Therapist

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 979-2365

MISS MASHA LYNN LEIFER

Technician, Health Information

(Assistant Record Technician)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8639

MR. LAWRENCE FRANKLIN MURRAY JR.

Counselor

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 337-2665

YESENIA ORTEGA

Counselor

(Mental Health)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8613

LETICIA JIMENEZ

Counselor

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8634

KHAC QUY T NGUYEN

Counselor

(Mental Health)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 957-1004

SARA ARPIARIAN

Social Worker

(Clinical)

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8696

LAUREL BREDTHAUER MSW, ASW

Social Worker

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 881-8641

BRIANA LYN ALEJO

Counselor

18302 IRVINE BLVD STE 300
TUSTIN, CA
ZIP 92780

(714) 957-1004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336406735, enumerated as an "organization" on April 23, 2012.

The provider is located at 18302 IRVINE BLVD STE 300 TUSTIN, CA 92780 and the phone number is (714) 957-1004.

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