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AVERY LANE
NPI 1922552496
Clinic/Center - Rehabilitation, Substance Use Disorder in Novato, CA

Active since August 12, 2016
505 SAN MARIN DR, SUITE 300, NOVATO, CA 94945(415) 686-6127 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Nov 15, 2019, Aug 12, 2016 (3 updates tracked since 2016).

About Avery Lane NPPES

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

AVERY LANE (NPI 1922552496) is a healthcare organization registered as a rehabilitation, substance use disorder in Novato, California and active in the NPI registry since August 2016. The organization lists Camille Hildebrand, Ceo/fonder, as its authorized official.

NPPES Registry Identity

NPI1922552496
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameAVERY LANE
Location Address505 SAN MARIN DR, SUITE 300Novato, CA 94945-1309
Mailing Address505 San Marin Dr Ste A300Novato, CA 94945-1351 · (415) 895-5360 · Fax (415) 895-5053
Phone(415) 686-6127
Organization SubpartNo
Authorized OfficialCamille HildebrandCeo/fonder · (415) 686-6127
Enumeration DateAugust 12, 2016
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1922552496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
505 SAN MARIN DR, Novato, CA 94945
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Other Providers at the Same Location NPPES 8

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

VY JAMIE NUGENT
Behavior Technician
505 SAN MARIN DR
NOVATO, CA 94945
Marin County (916) 206-8820
DEIDRE JIMENEZ
Behavior Technician
505 SAN MARIN DR
NOVATO, CA 94945
Marin County (628) 250-7500
SOPHIA CHALMERS
Behavior Technician
505 SAN MARIN DR
NOVATO, CA 94945
Marin County (628) 250-7500
ANDREA MARIE PINKERTON PSY.D.
Psychologist (Clinical)
505 SAN MARIN DR, STE A150
NOVATO, CA 94945
Marin County (415) 686-7364
LARRIE GOLDSMITH D.C.
Chiropractor
505 SAN MARIN DR, # A 220
NOVATO, CA 94945
Marin County (414) 897-2266
SUMMER LAN FRANCO AMFT
Marriage & Family Therapist
505 SAN MARIN DR
NOVATO, CA 94945
Marin County (415) 895-5360
DR. DANIEL S BROWN PH.D.
Psychologist
505 SAN MARIN DR, STE A150
NOVATO, CA 94945
Marin County (415) 264-8892
NICOLE COLLINS AMFT
Marriage & Family Therapist
505 SAN MARIN DR
NOVATO, CA 94945
Marin County (844) 528-2676

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 Avery Lane's NPI number?

The NPI number for Avery Lane is 1922552496. It was assigned to this organization in the NPPES registry on August 12, 2016.

Where is Avery Lane located?

Avery Lane is located at 505 San Marin Dr Suite 300, Novato, CA 94945. The listed phone number is (415) 686-6127.

What is Avery Lane's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Avery Lane was last updated on October 17, 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.