SHANE CLONTZ
NPI 1669232518
Community/Behavioral Health in Vacaville, CA
- Individual
- Male
- Community/Behavioral Health
About SHANE CLONTZ
This page provides the complete NPI Profile along with additional information for Shane Clontz, a provider established in Vacaville, California with a medical specialization in Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1669232518 assigned on March 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1669232518 Verify this NPI
- Provider Name
- SHANE CLONTZ
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 942 CEDARCREST DR VACAVILLE, CA 95687
- Location Phone
- (503) 462-5388
- Mailing Address
- 942 CEDARCREST DR VACAVILLE, CA 95687
- Mailing Phone
- (503) 462-5388
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-19-2024
- Last Update Date
- 03-19-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License State
- CA
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669232518, enumerated as an "individual" on March 19, 2024.
The provider is located at 942 CEDARCREST DR VACAVILLE, CA 95687 and the phone number is (503) 462-5388.
Community/Behavioral Health with taxonomy code 251S00000X.
