THE UNIVERSITY OF CALIFORNIA, IRVINE - CHILD DEVELOPMENT CENTER NPI 1427365659

Community/Behavioral Health in Irvine, CA

Organization Community/Behavioral Health

About THE UNIVERSITY OF CALIFORNIA, IRVINE - CHILD DEVELOPMENT CENTER

The University Of California, Irvine - Child Development Center is a provider established in Irvine, California specializing in community/behavioral health. The NPI number of The University Of California, Irvine - Child Development Center is 1427365659 and was assigned on September 2010. The practitioner's primary taxonomy code is 251S00000X with license number PSY14209 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Tim L. Wigal Ph.d. (Director)

NPI

1427365659

Provider NameTHE UNIVERSITY OF CALIFORNIA, IRVINE - CHILD DEVELOPMENT CENTER
Provider Location Address19262 JAMBOREE RD IRVINE, CA 92612
Provider Mailing Address19722 MACARTHUR BLVD IRVINE, CA 92612
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date09-09-2010
Last Update Date09-16-2010

Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.PSY14209
License StateCA
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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.

Business Address

THE UNIVERSITY OF CALIFORNIA, IRVINE - CHILD DEVELOPMENT CENTER
19262 JAMBOREE RD
IRVINE, CA
ZIP 92612
Phone: (949) 824-2343
Fax: (949) 824-8737

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Mailing Address

THE UNIVERSITY OF CALIFORNIA, IRVINE - CHILD DEVELOPMENT CENTER
19722 MACARTHUR BLVD
IRVINE, CA
ZIP 92612
Phone: (949) 824-1800
Fax: (949) 824-1811

Authorized Official

Authorized Official NameDR. TIM L. WIGAL PH.D.
Authorized Official TitleDIRECTOR
Authorized Official Phone(949) 824-1812

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1003001009REGENTS OF UNIVERSITY OF CALIFORNIA
Organization
Psychologist (Clinical Child & Adolescent)19262 JAMBOREE RD
IRVINE, CA 92612
(949) 824-2343
1033319405MS. ERICA REYES NGUYEN LCSW
Individual
Counselor (Mental Health)19262 JAMBOREE RD
IRVINE, CA 92612
(949) 824-2343

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.