FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC


Address: 116 E Brookdale, Fullerton, CA 92832
Phone: 7146808265

FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC (NPI# 1023149945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023149945
Entity Type Organization
Organization Name FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC
Practice Address 116 E Brookdale
Fullerton
CA 92832
Mailing Address 801 E Chapman Ave
Suite 203
Fullerton
CA 92831-3839
Practice Telephone 7146808265
Practice Fax Number 7146808207
Mailing Telephone 7146808268
Mailing Fax Number 7146808207
Enumeration Date 2007-03-09
Last Update Date 2014-05-16
Authorized Official Name MR. MANFRED FRITZ CZYPULL (CFO)
Authorized Official Telephone 7146808268
Authorized Official Credential MIM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL SITE CERTIFICATION RU 7554 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720545486 Florence Crittenton Services of Orange County, Inc Community/Behavioral Health 6055 E Washington Blvd Ste 390, Commerce, CA 90040-2483 2019-02-28
1407072812 Florence Crittenton Services of Orange County, Inc Community/Behavioral Health 2939 Pacific Commerce Dr, Rancho Dominguez, CA 90221-5729 2007-04-17
1851516322 Florence Crittenton Services of Orange County, Inc Community/Behavioral Health 12440 Firestone Blvd, Suite 215, Norwalk, CA 90650-4328 2007-04-17

Office Location

Street Address 116 E BROOKDALE
City FULLERTON
State CA
Zip Code 92832

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932735669 Diana Hernandez Behavior Technician 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2020-03-13
1942830013 Karen Marie Winkle Speech-Language Pathologist 812 Lois Lane, Fullerton, CA 92832 2020-01-17
1578122487 Andrea Arevalo Behavior Technician 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-06-13
1275090193 Madison Elizabeth Miller Behavior Technician 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 2019-02-27
1528525862 Samantha Rivas Behavior Technician 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 2019-02-22
1760948483 Marcus Gerard Chavez Behavioral Analyst 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 2019-02-19
1710443437 Rolando Jimenez Behavior Technician 713 W. Commonwealth, Suite A, La Habra, CA 92832 2019-02-18
1659872919 Anthony James Arneson Marriage & Family Therapist 120 N Lawrence, Fullerton, CA 92832 2018-02-22
1407302243 Be Well Pharmacy Inc Pharmacy 105 N Lawrence Ave, Fullerton, CA 92832 2016-08-31
1871907972 Edward Walls Counselor 771 W.orangethorpe Ave., Fullerton, CA 92832 2014-06-17
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104957034 Florence Crittenton Services of Orange County, Inc. Residential Treatment Facility, Emotionally Disturbed Children 600 N Harbor, Fullerton, CA 92832 2007-03-09
1821531088 Florence Crittenton Services of Orange County Inc Residential Treatment Facility, Emotionally Disturbed Children 100 E Valley View Dr, Fullerton, CA 92832-1321 2016-11-21
1679696447 Crittenton Residential Treatment Facility, Emotionally Disturbed Children 801 E Chapman Ave, Fullerton, CA 92831-3839 2007-04-09
1669503850 Florence Crittenton Services of Orange County, Inc. Residential Treatment Facility, Emotionally Disturbed Children 100 E Valley View Dr, Fullerton, CA 92832-1321 2007-03-08
1841382736 Florence Crittenton Services of Orange County, Inc. Residential Treatment Facility, Emotionally Disturbed Children 801 E Chapman Ave, Suite 220, Fullerton, CA 92831-3839 2006-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144820499 Catholic Charities of The Diocese of Oakland Residential Treatment Facility, Emotionally Disturbed Children 3700 Dorisa Ave, Oakland, CA 94605-4941 2020-10-27
1922607944 Inspire A Youth, Inc Residential Treatment Facility, Emotionally Disturbed Children 7556 Avenida Baja, Riverside, CA 92509-3449 2020-10-21
1235736554 Yvonne Dionne Robinson Residential Treatment Facility, Emotionally Disturbed Children 1223 E Helmick St, Carson, CA 90746-3163 2020-10-09
1740897784 Paradise Adolescent Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children 602 Woodlark Dr, Suisun City, CA 94585-2244 2020-09-24
1548877657 T & T House of Champions Residential Treatment Facility, Emotionally Disturbed Children 2115 High St, Oakland, CA 94601-4335 2020-09-23
1902412182 Paradise Adolescent Home, Inc. Residential Treatment Facility, Emotionally Disturbed Children 136 Valdivia Cir, San Ramon, CA 94583-2228 2020-09-22
1073128492 Samuel Campbell Jr. Residential Treatment Facility, Emotionally Disturbed Children 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 2020-09-11
1336753433 Aaron's Boys Home Residential Treatment Facility, Emotionally Disturbed Children 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 2020-09-04
1699389452 Millie's Youth Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 2512 Havenscourt Blvd, Oakland, CA 94605-1935 2020-08-31
1538779871 Hidden Treasures Foundation, Inc Residential Treatment Facility, Emotionally Disturbed Children 1240 W 13th Ave, Escondido, CA 92025-5560 2020-08-02
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Competitor

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City FULLERTON
Zip Code 92832

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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