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PACIFIC SOLSTICE LLC NPI 1053771782


NPI Information

NPI: 1053771782
Provider Name: PACIFIC SOLSTICE, LLC
Classification: Psychiatric Residential Treatment Facility - 323P00000X
Entity Type: Organization
Address:
26732 CROWN VALLEY PKWY STE 443
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 402-9520
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PACIFIC SOLSTICE, LLC is a psychiatric residential treatment facility in Mission Viejo, CA. The provider is 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 PACIFIC SOLSTICE, LLC NPI is 1053771782. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26732 CROWN VALLEY PKWY STE 443
MISSION VIEJO, CA
ZIP 92691-375
Phone: (949) 402-9520
Fax: (949) 506-3716

The provider's authorized official is Britten Therese Devereux .
The authorized official title is Administrator and has the following contact phone number (949) 200-7929.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 3/27/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4261QR0405XClinic/CenterRehabilitation, Substance Use Disorder300636APCALIFORNIANo
5320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
6323P00000XPsychiatric Residential Treatment FacilityYes
7324500000XSubstance Abuse Rehabilitation FacilityNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1306005875OTHERCALIFORNIADEPT OF SOCIAL SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.