MR. SHANE ANDREW PATTERSON RADT NPI 1528831393

NPI Information

NPI: 1528831393
Provider Name: MR. SHANE ANDREW PATTERSON, RADT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
20271 SW BIRCH ST
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 565-2276
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MR. Shane Andrew Patterson, RADT is an addiction (substance use disorder) counselor in Newport Beach, CA. MR. Shane Andrew Patterson, RADT NPI is 1528831393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20271 SW BIRCH ST
NEWPORT BEACH, CA
ZIP 92660-752
Phone: (949) 565-2276

The enumeration date for this NPI number is 11/3/2023 and was last updated on 11/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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