EXCEL ACADEMY - NPI 1629128079 - Clinic/Center in Redding, CA

Q: What is Excel Academy Shasta County Mental Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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About Excel Academy NPPES

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

EXCEL ACADEMY (NPI 1629128079) is a healthcare organization registered as a mental health (including community mental health center) in Redding, California and active in the NPI registry since January 2007. The organization lists Mark Montgomery, Director Of Mental Health, as its authorized official.

NPPES Registry Identity

NPI1629128079

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameEXCEL ACADEMY SHASTA COUNTY MENTAL HEALTH

Location Address3711 OASIS RDRedding, CA 96003-0397

Mailing AddressPo Box 496048Redding, CA 96049-6048 · (530) 225-5200 · Fax (530) 225-5977

Phone(530) 225-5200

Fax(530) 225-5977

Organization SubpartYesParent: County Of Shasta

Authorized OfficialMark MontgomeryDirector Of Mental Health · (530) 225-5200

Enumeration DateJanuary 10, 2007

Last NPPES UpdateNovember 16, 2010

✔ NPI 1629128079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

3711 OASIS RD, Redding, CA 96003

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Other Names 1

Doing Business AsExcel Academy

Other Identifiers 1

Medicaid4578CA

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.

OASIS COMMUNITY SCHOOL

Clinic/Center (Community Health)