Avery Lane
Avery Lane is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Novato, CA, holding Type 2 (organization) NPI 1922552496 since 2016. The authorized official on file is Camille Hildebrand, Ceo/Fonder.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1922552496 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avery Lane |
| Practice address | 505 SAN MARIN DR, SUITE 300, Novato, CA, 94945 |
| Phone | 4156866127 |
| Enumeration date | 2016-08-12 |
| Last updated in NPPES | 2023-10-17 |
Authorized official
| Name | Camille Hildebrand |
|---|---|
| Title | Ceo/Fonder |
| Phone | 4156866127 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Avery Lane NPI: 1922552496 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 505 SAN MARIN DR, SUITE 300, Novato, CA, 94945
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528123213 | Larrie Goldsmith | Individual | Chiropractor | Novato, CA |
| 1447480140 | Andrea Pinkerton | Individual | Clinical Psychologist | Novato, CA |
| 1669874160 | Daniel Brown | Individual | Psychologist | Novato, CA |
| 1932852381 | Nicole Collins | Individual | Marriage & Family Therapist | Novato, CA |
| 1598418808 | Summer Lan Franco | Individual | Marriage & Family Therapist | Novato, CA |
| 1063275642 | Vy Nugent | Individual | Behavior Technician | Novato, CA |
| 1194576025 | Deidre Jimenez | Individual | Behavior Technician | Novato, CA |
| 1336977586 | Sophia Chalmers | Individual | Behavior Technician | Novato, CA |
Verify this record
Cross-check NPI 1922552496 against the authoritative CMS record: view Avery Lane on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Avery Lane?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-17.