TEMECULA SU DAY REPORTING CENTER
NPI 1710361688
Community/Behavioral Health in Temecula, CA

NPI Status: Active since July 10, 2015

Contact Information

41002 COUNTY CENTER DR
STE. A
TEMECULA, CA
ZIP 92591
Phone: (951) 955-1503

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  • Organization
  • Community/Behavioral Health

About TEMECULA SU DAY REPORTING CENTER

This page provides the complete NPI Profile along with additional information for Temecula Su Day Reporting Center, a provider established in Temecula, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1710361688 assigned on July 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Temecula Su Day Reporting Center. The authorized official of this NPI record is Jerry Wengerd (Director Of Mental Health)

NPI
1710361688
Provider Legal Name
COUNTY OF RIVERSIDE
Other Organization Name
TEMECULA SU DAY REPORTING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
41002 COUNTY CENTER DR STE. A TEMECULA, CA 92591
Location Phone
(951) 955-1503
Mailing Address
4095 COUNTY CIRCLE DR RIVERSIDE, CA 92503
Mailing Phone
(951) 358-6900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2015
Last Update Date
07-10-2015
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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

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.

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

JERRY WENGERD

Authorized Official Title
DIRECTOR OF MENTAL HEALTH
Authorized Official Phone
(951) 358-4500

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
00033OTHER (01)CALEGAL ENTITY

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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.
1710361688
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720662616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 2 + 6 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1710361688 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

CHRISTINA SCHMIDT M.D

Pediatrics

41002 COUNTY CENTER DR
TEMECULA, CA
ZIP 92591

(951) 600-6300

MR. AMIL DHARI ALZUBAIDI MA LMFT

Marriage & Family Therapist

41002 COUNTY CENTER DR
STE 320 RIVERSIDE COUNTY DEPT OF MENTAL HEALTH TEMECULA
TEMECULA, CA
ZIP 92591

(951) 600-6381

MRS. KIMBERLY ANN JOHNS MSW ASW

Social Worker

(Clinical)

41002 COUNTY CENTER DR
RIVERSIDE COUNTY MENTAL HEALTH STE 320
TEMECULA, CA
ZIP 92591

(951) 600-6355

MRS. MARIA E. CANCELADA MSW

Social Worker

41002 COUNTY CENTER DR
TEMECULA, CA
ZIP 92591

(951) 600-6355

MRS. DIANA VERA

Counselor

(Addiction (Substance Use Disorder))

41002 COUNTY CENTER DR
TEMECULA, CA
ZIP 92591

(951) 600-6553

BEATRICE ANNETTE IRVING RN

Registered Nurse

(Psychiatric/Mental Health)

41002 COUNTY CENTER DR
SUITE 320
TEMECULA, CA
ZIP 92591

(951) 600-6355

DR. ALI RIDA DIA M.D.

Psychiatry & Neurology

(Psychiatry)

41002 COUNTY CENTER DR
#320
TEMECULA, CA
ZIP 92591

(951) 600-6355

ALLISON HOOVER

Counselor

(Mental Health)

41002 COUNTY CENTER DR
TEMECULA, CA
ZIP 92591

(951) 600-6355

MS. BRENDA D SCOTT BHS II

Social Worker

41002 COUNTY CENTER DR
TEMECULA, CA
ZIP 92591

(951) 600-6355

TEMECULA MENTAL HEALTH

Clinic/Center

(Mental Health (Including Community Mental Health Center))

41002 COUNTY CENTER DR
SUITE 320
TEMECULA, CA
ZIP 92591

(951) 600-6355

MRS. RETHA BURROW R.N.

Registered Nurse

(Psychiatric/Mental Health)

41002 COUNTY CENTER DR
#320
TEMECULA, CA
ZIP 92591

(951) 600-6355

MR. SCOTT L HOAGE CADC-II

Counselor

(Addiction (Substance Use Disorder))

41002 COUNTY CENTER DR
320
TEMECULA, CA
ZIP 92591

(951) 600-6360

RIVERSIDE COUNTY SUBSTANCE ABUSE PROGRAM

Case Management

41002 COUNTY CENTER DR
TEMECULA, CA
ZIP 92591

(951) 600-6360

MR. MARVIN DUGLAS THIEM

Case Management

41002 COUNTY CENTER DR
TEMECULA, CA
ZIP 92591

(951) 600-6360

GARY HILE

Counselor

(Addiction (Substance Use Disorder))

41002 COUNTY CENTER DR
320
TEMECULA, CA
ZIP 92591

(951) 600-6360

MARIAM TAHIRY

Marriage & Family Therapist

41002 COUNTY CENTER DR
SUITE 320
TEMECULA, CA
ZIP 92591

(951) 600-6365

MRS. JANET OKYEREWAAH KOOMSON LVN

Licensed Vocational Nurse

41002 COUNTY CENTER DR
TEMECULA, CA
ZIP 92591

(951) 600-6355

MR. LAWRENCE BRUCE WATERMAN

Counselor

(Mental Health)

41002 COUNTY CENTER DR
320
TEMECULA, CA
ZIP 92591

(951) 600-6335

DENISE WHARTON

Counselor

(Mental Health)

41002 COUNTY CENTER DR
STE 320
TEMECULA, CA
ZIP 92591

(951) 600-6355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710361688, enumerated as an "organization" on July 10, 2015.

The provider is located at 41002 COUNTY CENTER DR STE. A TEMECULA, CA 92591 and the phone number is (951) 955-1503.

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.