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SHANNON DENISE REILLY CAS
NPI 1891937306
Substance Abuse Rehabilitation Facility in Pollock Pines, CA

Active since March 30, 2009
5494 PONY EXPRESS TRAIL, POLLOCK PINES, CA 95726(530) 644-3758(530) 644-3782 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Denise Reilly Cas NPPES

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

SHANNON DENISE REILLY CAS (NPI 1891937306) is an individual substance abuse rehabilitation facility provider in Pollock Pines, California, licensed in California (324500000X) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1891937306
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameSHANNON DENISE REILLYCredential: CAS
Location Address5494 PONY EXPRESS TRAILPollock Pines, CA 95726
Mailing AddressPo Box 586Camino, CA 95709-0586 · (530) 644-3758 · Fax (530) 644-3782
Phone(530) 644-3758
Fax(530) 644-3782
Sole ProprietorYes
Enumeration DateMarch 30, 2009
✔ NPI 1891937306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
5494 PONY EXPRESS TRAIL, Pollock Pines, CA 95726
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Other Providers at the Same Location NPPES 7

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

MS. THERESA JOANNE RUSSELL CADC-11
Specialist
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 664-3758
PROGRESS HOUSE INC.
Substance Abuse Rehabilitation Facility
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
DEBBIE SALVINO RADT I
Counselor (Addiction (Substance Use Disorder))
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3782
MR. ROBERT JOHN STADELHOFER CAS
Specialist
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
ALEXA CLAIRE FILA CASI
Counselor (Addiction (Substance Use Disorder))
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
RUSS C MCDOWELL SR.
Specialist
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758
KATHLEEN TROSPER
Counselor (Addiction (Substance Use Disorder))
5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA 95726
El Dorado County (530) 644-3758

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 Shannon Reilly's NPI number?

The NPI number for Shannon Reilly is 1891937306. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Shannon Reilly located?

Shannon Reilly practices at 5494 Pony Express Trail, Pollock Pines, CA 95726. The listed phone number is (530) 644-3758.

What is Shannon Reilly's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Shannon Reilly was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.