MR. SHAYNE THOMAS KELLEY
NPI 1063878130
Clinic/Center - Mental Health (Including Community Mental Health Center) in Thousand Oaks, CA
About Mr. Shayne Thomas Kelley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHAYNE THOMAS KELLEY (NPI 1063878130) is an individual mental health (including community mental health center) provider in Thousand Oaks, California and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Shayne Thomas Kelley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shayne Kelley's NPI number?
The NPI number for Shayne Kelley is 1063878130. It was assigned to this individual provider in the NPPES registry on January 5, 2016.
Where is Shayne Kelley located?
Shayne Kelley practices at 187 E Wilbur Rd Ste 14, Thousand Oaks, CA 91360. The listed phone number is (818) 253-4150.
What is Shayne Kelley's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Shayne Kelley enrolled in Medicare?
Yes. Shayne Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Shayne Kelley was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Shayne Thomas Kelley · NPI 1063878130
Mental Health (Including Community Mental Health Center) provider in Thousand Oaks, California. Individual provider, active in the CMS NPPES registry since January 5, 2016.
## Identity
- **NPI:** 1063878130 (Entity type: Individual)
- **Enumerated:** January 5, 2016
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 187 E WILBUR RD STE 14, Thousand Oaks, CA 91360-7938
- **Phone:** (818) 253-4150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063878130) · Data from the CMS NPPES public registry.