Max Cleatis Snell

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Practice address

7940 Bodega Ave Apt 13
Sebastopol, CA 95472-3566

Phone

(530) 401-5075

NPI assigned

Aug 18, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1487934782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 BODEGA AVE APT 13",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723566",
            "telephone_number": "530-401-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 BODEGA AVE APT 13",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723566",
            "telephone_number": "530-401-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELL",
        "first_name": "MAX",
        "middle_name": "CLEATIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Sisson, CMT, NMT
• Julie Clare Smith, P.T.
• Phoebe L Smith, M.D.
• Teresa Smith
• Timothy J Smith, M.D.
• Lara Kirsten Sodergren, LM
• Solace Group LLC
• Anya Rose Soled, OTR/L
• Donald Alan Solomon, M.D.
• Ellen K Solot, M.A

• Mental Illness Community Based Residential Treatment Facility in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.