Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAYNE THOMAS KELLEY
Active Sole ProprietorMR. SHAYNE THOMAS KELLEY is a Mental Health Clinic healthcare provider located in THOUSAND OAKS, California. NPI 1063878130 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · THOUSAND OAKS, CA
Registration Details
- NPI Number
- 1063878130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2016 (10.419432607534 yrs)
- Last Updated
- Apr 25, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
187 E WILBUR RD STE 14THOUSAND OAKS, CA, 913607938Browse CA providers · Browse ZIP 91360
- Phone
- 8182534150
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.