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CAMP SHANE
NPI 1356600845
Counselor in Croton On Hudson, NY

Active since May 03, 2012
134 TEATOWN RD, CROTON ON HUDSON, NY 10520(626) 797-9977 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Camp Shane NPPES

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

CAMP SHANE (NPI 1356600845) is a healthcare organization registered as a counselor in Croton On Hudson, New York and active in the NPI registry since May 2012. The organization lists David Ettenberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1356600845
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameCAMP SHANE
Location Address134 TEATOWN RDCroton On Hudson, NY 10520-3524
Mailing Address134 Teatown RdCroton On Hudson, NY 10520-3524 · (626) 797-9977
Phone(626) 797-9977
Organization SubpartYesParent: Shane Fit
Authorized OfficialDavid EttenbergOwner · (626) 797-9977
Enumeration DateMay 3, 2012
✔ NPI 1356600845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NY · R049213-1
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

134 TEATOWN RD, Croton On Hudson, NY 10520
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Camp Shane's NPI number?

The NPI number for Camp Shane is 1356600845. It was assigned to this organization in the NPPES registry on May 3, 2012.

Where is Camp Shane located?

Camp Shane is located at 134 Teatown Rd, Croton On Hudson, NY 10520. The listed phone number is (626) 797-9977.

What is Camp Shane's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Camp Shane was last updated on May 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.