FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC. (NPI# 1104957034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104957034 |
| Entity Type | Organization |
| Organization Name | FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC. |
| Practice Address |
600 N Harbor Fullerton CA 92832 |
| Mailing Address |
801 E Chapman Ave Suite 203 Fullerton CA 92831-3839 |
| Practice Telephone | 7146808265 |
| Mailing Telephone | 7146808265 |
| Mailing Fax Number | 7146808207 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | MR. MANFRED FRITZ CZYPULL (CFO) |
| Authorized Official Telephone | 7146808257 |
| Authorized Official Credential | MIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL SITE CERTIFICATION | RU 7523 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932325347 | Florence Crittenton Services of Orange County, Inc. | Community/Behavioral Health | 1460 E Holt Ave, Suite # 166, Pomona, CA 91767-5852 | 2007-04-17 |
| 1043341258 | Florence Crittenton Services of Orange County, Inc. | Community/Behavioral Health | 4300 Long Beach Blvd, Suite 100, Long Beach, CA 90807-2008 | 2007-03-08 |
| 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 |
| Street Address |
600 N HARBOR |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832 |
| 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 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023149945 | Florence Crittenton Services of Orange County, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 116 E Brookdale, 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 |
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|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.