NPIMap

Organization Active NPI

Florence Crittenton Services of Orange County, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fullerton, CA
National Provider Identifier
1023149945
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC
Practice address
116 E Brookdale
Fullerton, CA 92832
Phone
(714) 680-8265
Fax
(714) 680-8207
NPI assigned
Mar 9, 2007
Last updated
May 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Manfred Fritz Czypull, MIM
Title
Cfo
Phone
(714) 680-8268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

116 E Brookdale
Fullerton, CA 92832

Mailing address

801 E Chapman Ave
Suite 203
Fullerton, CA 92831-3839
Phone (714) 680-8268

Other identifiers 1

IdentifierTypeStateIssuer
RU 7554OtherCAMEDICAL SITE CERTIFICATION

National Provider Directory

National Provider Directory
Tax ID family
Crittenton Services for Children and Families8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1023149945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CHAPMAN AVE",
            "address_2": "SUITE 203",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313839",
            "telephone_number": "714-680-8268",
            "fax_number": "714-680-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E BROOKDALE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92832",
            "telephone_number": "714-680-8265",
            "fax_number": "714-680-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "CZYPULL",
        "authorized_official_first_name": "MANFRED",
        "authorized_official_middle_name": "FRITZ",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-680-8268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MIM"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SITE CERTIFICATION",
            "identifier": "RU 7554",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.