CRESTWOOD BEHAVIORAL HEALTH, INC.
NPI 1720157050
Assisted Living Facility - Assisted Living, Mental Illness in San Jose, CA

NPI Status: Active since November 08, 2006

Contact Information

1425 FRUITDALE AVE
SAN JOSE, CA
ZIP 95128
Phone: (408) 275-1010
Fax: (408) 275-1066

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About CRESTWOOD BEHAVIORAL HEALTH, INC.

This page provides the complete NPI Profile along with additional information for Crestwood Behavioral Health, Inc., a provider established in San Jose, California operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1720157050 assigned on November 2006. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Michelle Smith (Executive Director Reimbursement)

NPI
1720157050
Provider Legal Name
CRESTWOOD BEHAVIORAL HEALTH, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1425 FRUITDALE AVE SAN JOSE, CA 95128
Location Phone
(408) 275-1010
Location Fax
(408) 275-1066
Mailing Address
7590 SHORELINE DR STOCKTON, CA 95219
Mailing Phone
(209) 955-2328
Mailing Fax
(408) 275-1066
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2006
Last Update Date
05-20-2025
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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

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

MICHELLE SMITH

Authorized Official Title
EXECUTIVE DIRECTOR REIMBURSEMENT
Authorized Official Phone
(209) 955-2316

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720157050, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 2 + 5 + 1 + 4 + 0 + 1 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1720157050.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
1425 FRUITDALE AVE
SAN JOSE, CA 95128
Licensed Vocational Nurse
1425 FRUITDALE AVE
SAN JOSE, CA 95128
Licensed Psychiatric Technician
1425 FRUITDALE AVE
SAN JOSE, CA 95128
Community/Behavioral Health
1425 FRUITDALE AVE
SAN JOSE, CA 95128
Psychiatric Hospital
1425 FRUITDALE AVE
SAN JOSE, CA 95128
Intermediate Care Facility, Mental Illness
1425 FRUITDALE AVE
SAN JOSE, CA 95128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720157050, enumerated as an "organization" on November 08, 2006.

The provider is located at 1425 FRUITDALE AVE SAN JOSE, CA 95128 and the phone number is (408) 275-1010.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.