MR. PETE KAVANAUGH SUDRC15061
NPI 1649974759
Counselor - Addiction (Substance Use Disorder) in Clearlake Oaks, CA

Q: What is Pete Kavanaugh's NPI number?

The NPI number for Pete Kavanaugh is 1649974759. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Pete Kavanaugh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Pete Kavanaugh was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 30, 2023

14715 EAST HWY 20, CLEARLAKE OAKS, CA 95423(707) 998-1800 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Pete Kavanaugh Sudrc15061 NPPES

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

MR. PETE KAVANAUGH SUDRC15061 (NPI 1649974759) is an individual addiction (substance use disorder) provider in Clearlake Oaks, California, licensed in California (SUDRC15061) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1649974759

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. PETE KAVANAUGHCredential: SUDRC15061

Location Address14715 EAST HWY 20Clearlake Oaks, CA 95423

Mailing AddressPo Box 366Clearlake Oaks, CA 95423-0366

Phone(707) 998-1800

Sole ProprietorNo

Enumeration DateMarch 30, 2023

NPPES CertifiedMarch 27, 2023

✔ NPI 1649974759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · SUDRC15061

14715 EAST HWY 20, Clearlake Oaks, CA 95423

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Other Providers at the Same Location NPPES 4

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

RIKKI IRIE RUIZ

Counselor (Addiction (Substance Use Disorder))

14715 EAST HWY 20
CLEARLAKE OAKS, CA 95423

Lake County (707) 998-1800

ADASHA RAFAEL GARCIA

Counselor (Addiction (Substance Use Disorder))

14715 EAST HWY 20
CLEARLAKE OAKS, CA 95423

Lake County (707) 998-1800

SHAWN EDWARD FOX

Counselor (Addiction (Substance Use Disorder))

14715 EAST HWY 20
CLEARLAKE OAKS, CA 95423

Lake County (707) 988-1800

SARA LYNNE IVANS

Counselor (Addiction (Substance Use Disorder))

14715 EAST HWY 20
CLEARLAKE OAKS, CA 95423

Lake County (707) 998-1800

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 Pete Kavanaugh's NPI number?

The NPI number for Pete Kavanaugh is 1649974759. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Pete Kavanaugh located?

Pete Kavanaugh practices at 14715 East Hwy 20, Clearlake Oaks, CA 95423. The listed phone number is (707) 998-1800.

What is Pete Kavanaugh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Pete Kavanaugh was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.