Excel Academy

LBN: Excel Academy Shasta County Mental Health
Excel Academy is an health care organization with primary practice located at 3711 Oasis Rd , Redding CA 96003-0397. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Excel Academy Shasta County Mental Health can be contacted via phone (530) 225-5200, or through Montgomery, Mark via phone (530) 225-5200.

Contact Information

Primary practice address
3711 Oasis Rd Redding CA 96003-0397
Phone: (530) 225-5200
Fax: (530) 225-5977
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Mark PSYD
Phone: (530) 225-5200

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1629128079
LBN Legal business name Excel Academy Shasta County Mental Health
DBA Doing business as Excel Academy
Authorized official Montgomery, Mark PSYD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 10th, 2007
Last updated Nov 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629128079 NPPES
California MEDICAID 4578

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