AWAKENINGS
NPI 1457694747
Clinic/Center - Rehabilitation, Substance Use Disorder in Agoura Hills, CA

Q: What is Agoura Neurofeedback, Inc.'s NPI number?

The NPI number for Agoura Neurofeedback, Inc. is 1457694747. It was assigned to this organization in the NPPES registry on April 4, 2013. The provider is doing business as Awakenings.

Q: What is Agoura Neurofeedback, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since April 04, 2013CLIA 05D2076655 · Waiver

28632 ROADSIDE DR STE 210, AGOURA HILLS, CA 91301(855) 717-3268(805) 435-1540 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Dec 3, 2015 (2 updates tracked since 2015).

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About Awakenings NPPES

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

AWAKENINGS (NPI 1457694747) is a healthcare organization registered as a rehabilitation, substance use disorder in Agoura Hills, California and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists Shari Beth Stillman-corbitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1457694747

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameAGOURA NEUROFEEDBACK, INC.

Location Address28632 ROADSIDE DR STE 210Agoura Hills, CA 91301-6091

Mailing Address28632 Roadside Dr Ste 210Agoura Hills, CA 91301-6091 · (855) 717-3268 · Fax (805) 435-1540

Phone(855) 717-3268

Fax(805) 435-1540

Organization SubpartNo

Authorized OfficialShari Beth Stillman-corbittOwner · (310) 848-5418

Enumeration DateApril 4, 2013

Last NPPES UpdateDecember 14, 20232 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1457694747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

28632 ROADSIDE DR STE 210, Agoura Hills, CA 91301

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Other Names 1

Doing Business AsAwakenings

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2076655

Agoura Neurofeedback Inc · Agoura Hills, CA

Active · expires Apr 22, 2028

CLIA Number05D2076655

Laboratory TypeComp. Outpatient Rehab Facility

Certificate Effective DateApril 23, 2026

Certificate Expiration DateApril 22, 2028

Laboratory DirectorMark Jaffe, MD

Laboratory Phone(855) 717-3268

Laboratory LocationAgoura Neurofeedback Inc28720 Roadside Dr Ste 200, Agoura Hills, CA 91301

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MELISSA GIBBS

Case Manager/Care Coordinator