CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM
NPI 1598808610
Clinic/Center - Rehabilitation, Substance Use Disorder in San Andreas, CA

NPI Status: Active since February 15, 2007

Contact Information

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249
Phone: (209) 754-6555

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM

This page provides the complete NPI Profile along with additional information for Calaveras County Substance Abuse Program, a provider established in San Andreas, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1598808610 assigned on February 2007. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Stacey Marie Meily (Administrators Assistant)

NPI
1598808610
Provider Name
CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM
Entity Type
Organization
Location Address
891 MOUNTAIN RANCH RD SAN ANDREAS, CA 95249
Location Phone
(209) 754-6555
Mailing Address
891 MOUNTAIN RANCH RD SAN ANDREAS, CA 95249
Mailing Phone
(209) 754-6555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2007
Last Update Date
08-22-2020
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

STACEY MARIE MEILY

Authorized Official Title
ADMINISTRATORS ASSISTANT
Authorized Official Phone
(209) 754-6555

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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.
1598808610
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251881601662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 6 + 0 + 1 + 6 + 6 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1598808610 is valid because the calculated check digit 0 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.

THOMAS WILLIAM HASPEL MD

Psychiatry & Neurology

(Psychiatry)

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

DR. ROBERT KENNETH MULERT M.D.

Psychiatry & Neurology

(Psychiatry)

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

MS. MARIAN BELL MFT

Marriage & Family Therapist

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

MR. FRANCIS MARK MCCORMICK LCSW

Social Worker

(Clinical)

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

MR. DAVID LAWRENCE SACKMAN M.F.T.

Marriage & Family Therapist

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6555

MR. ZACHERY RICHARD MURTON MFT INTERN

Student in an Organized Health Care Education/Training Program

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

DENISE CHRISTINE GIBLIN MFTI

Student in an Organized Health Care Education/Training Program

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6844

MS. JULIE ANNE REYNOLDS

Case Manager/Care Coordinator

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

MS. JOAN C ROMEO MFT

Marriage & Family Therapist

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6532

GAYLE F BLANC MA

Case Manager/Care Coordinator

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6776

DENISE L KEISER

Counselor

(Addiction (Substance Use Disorder))

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

MR. BRYANT M WILSON

Counselor

(Addiction (Substance Use Disorder))

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6555

ROBERT R FULGHAM

Counselor

(Addiction (Substance Use Disorder))

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6555

MR. JOHN BRIAN VANDYCK REV.

Counselor

(Addiction (Substance Use Disorder))

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6555

ELMOND LESLIE BOIRE

Counselor

(Addiction (Substance Use Disorder))

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6555

MRS. KIMBERLEY DAWN RAINIER B.S.

Case Manager/Care Coordinator

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

MS. JULIE ANNE HALL-SWEAZA M.S.

Counselor

(Addiction (Substance Use Disorder))

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6555

CYNTHIA ANN LOPEZ

Case Manager/Care Coordinator

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

MARIN KOORKOFF MFTI

Student in an Organized Health Care Education/Training Program

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

MIKEY HABBESTAD

Social Worker

891 MOUNTAIN RANCH RD
SAN ANDREAS, CA
ZIP 95249

(209) 754-6525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598808610, enumerated as an "organization" on February 15, 2007.

The provider is located at 891 MOUNTAIN RANCH RD SAN ANDREAS, CA 95249 and the phone number is (209) 754-6555.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.