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JUSTIN MONTELLO
NPI 1730729781
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA

Active since January 07, 2020
103 SHORELINE PKWY STE 201, SAN RAFAEL, CA 94901(415) 453-9980(415) 453-6137 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Justin Montello NPPES

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

JUSTIN MONTELLO (NPI 1730729781) is an individual addiction (substance use disorder) provider in San Rafael, California and active in the NPI registry since January 2020. He maintains a secondary practice location in San Rafael.

NPPES Registry Identity

NPI1730729781
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJUSTIN MONTELLO
Location Address103 SHORELINE PKWY STE 201San Rafael, CA 94901-5584
Mailing Address6410 Schmidt Ln Apt C202El Cerrito, CA 94530-1949 · (425) 463-5711
Phone(415) 453-9980
Fax(415) 453-6137
Sole ProprietorNo
Enumeration DateJanuary 7, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedJanuary 9, 2020
✔ NPI 1730729781 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
103 SHORELINE PKWY STE 201, San Rafael, CA 94901
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Secondary Practice Location 1

Location 1171 Carlos DrSan Rafael, CA 94903-2005 · Phone (619) 356-1396

Other Identifiers 2

Medicaid1770656704CA
Medicaid1083069447CA

Other Providers at the Same Location NPPES

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

MARIA G. VEGA
Counselor (Addiction (Substance Use Disorder))
103 SHORELINE PKWY STE 201
SAN RAFAEL, CA 94901
Marin County (415) 453-9980

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 Justin Montello's NPI number?

The NPI number for Justin Montello is 1730729781. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Justin Montello located?

Justin Montello practices at 103 Shoreline Pkwy Ste 201, San Rafael, CA 94901. The listed phone number is (415) 453-9980.

What is Justin Montello'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 Justin Montello was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.