DISCOVERY MOOD & ANXIETY PROGRAM, GRANITE BAY (SACRAMENTO)
NPI 1760901672
Psychiatric Residential Treatment Facility in Granite Bay, CA

NPI Status: Active since September 12, 2017

Contact Information

5525 CAVITT STALLMAN RD
GRANITE BAY, CA
ZIP 95746
Phone: (714) 828-1800
Fax: (714) 882-1186

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • Accepts Insurance
  • CLIA Number: 05D2275579
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT
  • CLIA Exp. Date: 01-23-2027

About DISCOVERY MOOD & ANXIETY PROGRAM, GRANITE BAY (SACRAMENTO)

This page provides the complete NPI Profile along with additional information for Discovery Mood & Anxiety Program, Granite Bay (sacramento), a provider established in Granite Bay, California operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1760901672 assigned on September 2017. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Discovery Mood & Anxiety Program, Granite Bay (sacramento). The authorized official of this NPI record is Magdalen Gustilo (Director Of Payer Relations)

NPI
1760901672
Provider Legal Name
DISCOVERY PRACTICE MANAGEMENT, INC.
Other Organization Name
DISCOVERY MOOD & ANXIETY PROGRAM, GRANITE BAY (SACRAMENTO)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5525 CAVITT STALLMAN RD GRANITE BAY, CA 95746
Location Phone
(714) 828-1800
Location Fax
(714) 882-1186
Mailing Address
18401 VON KARMAN AVE STE 500 IRVINE, CA 92612
Mailing Phone
(714) 828-1800
Mailing Fax
(714) 882-1186
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-12-2017
Last Update Date
05-11-2023
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

*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

MAGDALEN GUSTILO

Authorized Official Title
DIRECTOR OF PAYER RELATIONS
Authorized Official Phone
(714) 568-7667

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
05D2275579
Facility Type
Other - RESIDENTIAL TREATMENT
Certificate Effective Date
January 24, 2025
Certificate Expiration Date
January 23, 2027
Laboratory Director
MICHAEL LOUIE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Discovery Mood & Anxiety Program, Granite Bay (sacramento) 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 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 1760901672, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 6 → 12 → 3 9 → 18 → 9 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 8 + 0 + 2 + 6 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760901672.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760901672, enumerated as an "organization" on September 12, 2017.

The provider is located at 5525 CAVITT STALLMAN RD GRANITE BAY, CA 95746 and the phone number is (714) 828-1800.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.