OrganizationActive
Camp Shane
NPI 1356600845 · Counselor · Croton on Hudson, NY
Camp Shane is a Counselor organization in Croton on Hudson, NY (NPI 1356600845).
Provider details
- NPI number
- 1356600845
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Parent organization
- Shane Fit
- Organization subpart
- Yes
- Authorized official
- David Ettenberg, Owner(626) 797-9977
- License
- R049213-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
134 Teatown Rd
Croton on Hudson, NY 10520-3524
Phone: (626) 797-9977
Street-level locationGet directions
Mailing address
134 Teatown Rd
Croton on Hudson, NY 10520-3524
Registry dates
- Enumerated
- 2012-05-03
- Last updated
- 2012-05-03
Frequently asked questions
- What is Camp Shane's NPI number?
- Camp Shane's National Provider Identifier (NPI) is 1356600845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Camp Shane?
- Camp Shane is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Camp Shane located?
- Camp Shane's practice location on file with NPPES is 134 Teatown Rd, Croton on Hudson, NY 10520-3524.
- What is Camp Shane's phone number?
- The practice phone number listed in the NPPES registry for Camp Shane is (626) 797-9977.
- Who is the authorized official for Camp Shane?
- The authorized official listed on Camp Shane's NPPES record is David Ettenberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Camp Shane's NPI active?
- Yes — Camp Shane's NPI (1356600845) is active in the NPPES registry as of the last update on 2012-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.