NPIMap

Organization Active NPI

Florence Crittenton Services of Orange County, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Fullerton, CA
National Provider Identifier
1841382736
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
300612972 Issued in CA
Legal business name
FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC.
Practice address
801 E Chapman Ave
Suite 220
Fullerton, CA 92831-3839
Phone
(714) 680-8268
Fax
(714) 680-8207
NPI assigned
Sep 28, 2006
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
Ceo
Phone
(714) 680-8268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 300612972 CA Primary

Addresses

Primary practice location

801 E Chapman Ave
Suite 220
Fullerton, CA 92831-3839

Mailing address

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

Other identifiers 9

IdentifierTypeStateIssuer
300612972OtherCADSS FACILITY LICENSE
7605OtherCAMEDICAL CERTIFICATION LB
7518OtherCAMEDICAL CERTIFICATION C.
7554OtherCAMEDICAL CERTIFICATION B
306099612OtherCADSS FACILITY LICENSE
7523OtherCAMEDICAL CERTIFICATION H
7524OtherCAMEDICAL CERTIFICATION VV
00870OtherCAMH LEGAL ENTITY
300600336OtherCADSS FACILITY LICENSE

Other names 1

  • CRITTENTON SERVICES FOR CHILDREN & FAMILIES Other name

National Provider Directory

National Provider Directory
Tax ID family
Crittenton Services8 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.

Locations

801 E Chapman Ave
Ste 220
Fullerton, CA 92831
Phone (714) 680-8268

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1841382736",
    "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": "801 E CHAPMAN AVE",
            "address_2": "SUITE 220",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313839",
            "telephone_number": "714-680-8268",
            "fax_number": "714-680-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "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": "CEO",
        "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": "CA",
            "license": "300612972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSS FACILITY LICENSE",
            "identifier": "300612972",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CERTIFICATION LB",
            "identifier": "7605",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CERTIFICATION C.",
            "identifier": "7518",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CERTIFICATION B",
            "identifier": "7554",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSS FACILITY LICENSE",
            "identifier": "306099612",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CERTIFICATION H",
            "identifier": "7523",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CERTIFICATION VV",
            "identifier": "7524",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MH LEGAL ENTITY",
            "identifier": "00870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSS FACILITY LICENSE",
            "identifier": "300600336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRITTENTON SERVICES FOR CHILDREN & FAMILIES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.