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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLINTON SPELLMAN
NPI 1174344154
Student in an Organized Health Care Education/Training Program in West Sacramento, CA

Active since October 22, 2024
3050 BEACON BLVD, WEST SACRAMENTO, CA 95691(916) 594-3148 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Dec 5, 2024, Nov 7, 2024 (3 updates tracked since 2024).

About Clinton Spellman NPPES

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

CLINTON SPELLMAN (NPI 1174344154) is an individual student in an organized health care education/training program in West Sacramento, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1174344154
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCLINTON SPELLMAN
Location Address3050 BEACON BLVDWest Sacramento, CA 95691-3467
Mailing Address9516 Appalachian DrSacramento, CA 95827-1109 · (916) 612-7748
Phone(916) 594-3148
Sole ProprietorYes
Enumeration DateOctober 22, 2024
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1174344154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3050 BEACON BLVD, West Sacramento, CA 95691
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR COMMUNITY SUPPORT SERVICES, INC.
Community/Behavioral Health
3050 BEACON BLVD, SUITES 100, 102, 103 & 111
WEST SACRAMENTO, CA 95691
Yolo County (209) 327-8864
MR. MARIO HANKTON B.S
Counselor (Mental Health)
3050 BEACON BLVD
WEST SACRAMENTO, CA 95691
Yolo County (510) 999-1869
LISA YOUNG ASW
Social Worker (Clinical)
3050 BEACON BLVD
WEST SACRAMENTO, CA 95691
Yolo County (916) 462-3155
TAYLOR MARIE MITCHELL
Case Manager/Care Coordinator
3050 BEACON BLVD
WEST SACRAMENTO, CA 95691
Yolo County (916) 462-3100
GIDEON RUBLE
Day Training/Habilitation Specialist
3050 BEACON BLVD
WEST SACRAMENTO, CA 95691
Yolo County (916) 462-3100
KALEY JUANITAS
Case Manager/Care Coordinator
3050 BEACON BLVD
WEST SACRAMENTO, CA 95691
Yolo County (916) 462-3100
MRS. GLADYS MARIE MITCHELL
Counselor (Mental Health)
3050 BEACON BLVD
W SACRAMENTO, CA 95691
Yolo County (916) 462-3100
VALLE NORTE ACT
Clinic/Center (Mental Health (Including Community Mental Health Center))
3050 BEACON BLVD, SUITE 103
WEST SACRAMENTO, CA 95691
Yolo County (916) 376-8591

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 Clinton Spellman's NPI number?

The NPI number for Clinton Spellman is 1174344154. It was assigned to this individual provider in the NPPES registry on October 22, 2024.

Where is Clinton Spellman located?

Clinton Spellman practices at 3050 Beacon Blvd, West Sacramento, CA 95691. The listed phone number is (916) 594-3148.

What is Clinton Spellman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Clinton Spellman was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.