COMMUNITY IMPACT YOUTH & FAMILY SERVICE
NPI 1528442878
Case Management in Oklahoma City, OK
NPI Status: Active since July 16, 2015
Contact Information
4909 SE 86TH TER
OKLAHOMA CITY, OK
ZIP 73135
Phone: (405) 455-6738
- Organization
- Case Management
- CLIA Number: 37D2302801
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-15-2026
About COMMUNITY IMPACT YOUTH & FAMILY SERVICE
This page provides the complete NPI Profile along with additional information for Community Impact Youth & Family Service, a provider established in Oklahoma City, Oklahoma operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1528442878 assigned on July 2015. The practitioner's primary taxonomy code is 251B00000X. 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 Larrenda D Patterson Ms, Lpc/ladc (Executive Director)
- NPI
- 1528442878
- Provider Name
- COMMUNITY IMPACT YOUTH & FAMILY SERVICE
- Entity Type
- Organization
- Location Address
- 4909 SE 86TH TER OKLAHOMA CITY, OK 73135
- Location Phone
- (405) 455-6738
- Mailing Address
- 7901 NE 10TH ST STE B103 MIDWEST CITY, OK 73110
- Mailing Phone
- (405) 455-6738
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2015
- Last Update Date
- 07-16-2015
- Code Navigator
Location Map
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
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- License State
- OK
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
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) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | (OK) |
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.
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 |
|---|---|---|---|
| 103K00000X | MEDICAID (05) | OK |
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
- 37D2302801
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 16, 2024
- Certificate Expiration Date
- April 15, 2026
- Laboratory Director
- DELOIS ANDERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Community Impact Youth & Family Service 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. | |||||||||
| 1 | 5 | 2 | 8 | 4 | 4 | 2 | 8 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 8 | 4 | 4 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 8 + 4 + 4 + 8 + 1 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1528442878 is valid because the calculated check digit 8 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 1528442878, enumerated as an "organization" on July 16, 2015.
The provider is located at 4909 SE 86TH TER OKLAHOMA CITY, OK 73135 and the phone number is (405) 455-6738.
Case Management with taxonomy code 251B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
