PROF. SALLYANN SMITH (NPI# 1609972223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609972223 |
| Entity Type | Individual |
| Full Name | PROF. SALLYANN SMITH |
| Credential | LPT |
| Practice Address |
9337 Heathfield Way Sacramento CA 95829-6081 |
| Practice Telephone | 9166888790 |
| Mailing Telephone | 9166888790 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT 31372 | CA | Nursing Service Providers |
| Street Address |
9337 HEATHFIELD WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95829-6081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642265 | Courtney Nelson | Counselor | 7818 Bardu Ln, Sacramento, CA 95829 | 2019-07-24 |
| 1245701390 | Loan Thi Pham | Respiratory Therapist, Registered | 8179 Sita Ct, Sacramento, CA 95829 | 2018-12-16 |
| 1295092294 | Cindy Ka Dyer | Pharmacist | 8915 Gerber Road, Sacramento, CA 95829 | 2012-04-13 |
| 1235288457 | Janet Louise Gallaway | Social Worker | 9211 Gerber Road, Sacramento, CA 95829 | 2007-01-09 |
| 1265463806 | Kim T Nguyen | Optometrist | 8347 Elk Grove Florin Rd, Suite123, Sacramento, CA 95829 | 2006-07-05 |
| 1932158441 | Baldev Kaur | Registered Nurse | Primary Care U600 Broadway, Sacramento, CA 95829 | 2006-05-10 |
| 1689732406 | Mountain Valley Child and Family Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9200 Sweet Acacia Way, Sacramento, CA 95829-1130 | 2006-12-05 |
| 1922017334 | Heather Johnson | Marriage & Family Therapist | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2006-08-05 |
| 1841423092 | Tera Tapp | Case Manager/Care Coordinator | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2009-09-03 |
| 1396978292 | Tara Silafau | Case Manager/Care Coordinator | 9211 Gerber Rd, Sacramento, CA 95829-1130 | 2009-08-26 |
| Find all providers in zip 95829 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245374966 | Kathy Mary Simms | Licensed Psychiatric Technician | 6615 Valley Hi Dr # A, Sacramento, CA 95823-4601 | 2007-02-16 |
| 1811090723 | Elizabeth Ann Hayes | Licensed Psychiatric Technician | 811 Grand Ave Suite D, Sacramento, CA 95822-3466 | 2006-09-06 |
| 1275644718 | Levi Aaron Combs | Licensed Psychiatric Technician | 2045 W El Camino Ave Apt 455, Sacramento, CA 95833-1481 | 2006-08-31 |
| 1558384321 | Joseph Warren Gibbs | Licensed Psychiatric Technician | 8036 Center Pkwy, Sacramento, CA 95823-5243 | 2006-07-25 |
| 1356940159 | Hadia N Khalil | Licensed Psychiatric Technician | 401 S St, Sacramento, CA 95811-6919 | 2020-10-22 |
| 1316557465 | Bintu Sia Sorie | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2020-08-04 |
| 1770119893 | Crystal D Washington | Licensed Psychiatric Technician | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2020-03-20 |
| 1023659182 | Theresa Ann Jordan | Licensed Psychiatric Technician | 6950 65th St, Sacramento, CA 95823-2316 | 2019-09-30 |
| 1396394490 | Princess Jarrell | Licensed Psychiatric Technician | 3815 Marconi Ave, Sacramento, CA 95821-3867 | 2019-09-10 |
| 1699258392 | Odubanke Yewande Mcgaugh | Licensed Psychiatric Technician | 4612 Roosevelt Ave, Sacramento, CA 95820-4520 | 2018-09-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95829 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.