AVERY LANE
NPI 1306568373
Community Based Residential Treatment Facility, Mental Illness in Novato, CA

Q: What is Avery Lane's NPI number?

The NPI number for Avery Lane is 1306568373. It was assigned to this organization in the NPPES registry on September 15, 2022.

Q: What is Avery Lane's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Avery Lane was last updated on October 17, 2023. 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.

Active since September 15, 2022

200 ATHERTON AVE, NOVATO, CA 94945(415) 895-5360(415) 895-5053 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2023, Sep 15, 2022 (2 updates tracked since 2022).

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About Avery Lane NPPES

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

AVERY LANE (NPI 1306568373) is a healthcare organization registered as a community based residential treatment facility, mental illness in Novato, California and active in the NPI registry since September 2022. The organization lists Camille Hildebrand, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306568373

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameAVERY LANE

Location Address200 ATHERTON AVENovato, CA 94945-3458

Mailing Address505a San Marin Dr Ste 300Novato, CA 94945-1321 · (415) 895-5360 · Fax (415) 895-5360

Phone(415) 895-5360

Fax(415) 895-5053

Organization SubpartNo

Authorized OfficialCamille HildebrandCeo · (415) 686-6127

Enumeration DateSeptember 15, 2022

Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1306568373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

200 ATHERTON AVE, Novato, CA 94945

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Other Identifiers 1

Other210049APCA · Dhcs

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 Avery Lane's NPI number?

The NPI number for Avery Lane is 1306568373. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is Avery Lane located?

Avery Lane is located at 200 Atherton Ave, Novato, CA 94945. The listed phone number is (415) 895-5360.

What is Avery Lane's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Avery Lane was last updated on October 17, 2023. 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.