SHELBY MYRICK CADC I
NPI 1144989815
Counselor - Addiction (Substance Use Disorder) in Petaluma, CA

Q: What is Shelby Myrick's NPI number?

The NPI number for Shelby Myrick is 1144989815. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Q: What is Shelby Myrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Myrick was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 10, 2021

825 RANCHO WAY, PETALUMA, CA 94954(707) 974-7061 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shelby Myrick Cadc I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY MYRICK CADC I (NPI 1144989815) is an individual addiction (substance use disorder) provider in Petaluma, California, licensed in California (CI28691219) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1144989815

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameSHELBY MYRICKCredential: CADC I

Location Address825 RANCHO WAYPetaluma, CA 94954-4558

Mailing Address825 Rancho WayPetaluma, CA 94954-4558 · (707) 974-7061

Phone(707) 974-7061

Sole ProprietorYes

Enumeration DateDecember 10, 2021

NPPES CertifiedDecember 10, 2021

✔ NPI 1144989815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · CI28691219

825 RANCHO WAY, Petaluma, CA 94954

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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 Shelby Myrick's NPI number?

The NPI number for Shelby Myrick is 1144989815. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Shelby Myrick located?

Shelby Myrick practices at 825 Rancho Way, Petaluma, CA 94954. The listed phone number is (707) 974-7061.

What is Shelby Myrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shelby Myrick was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.