PHYLLIS RODRIGUEZ


Address: 496 S Barton Ave, Fresno, CA 93702-2985
Phone: 5593743990

PHYLLIS RODRIGUEZ (NPI# 1619370004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619370004
Entity Type Individual
Full Name PHYLLIS RODRIGUEZ
Practice Address 496 S Barton Ave
Fresno
CA 93702-2985
Mailing Address 3420 Winter Way
Madera
CA 93637-5956
Practice Telephone 5593743990
Mailing Telephone 5592753555
Enumeration Date 2014-09-30
Last Update Date 2019-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician PT 35583 CA Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 E 13th St Ste D, Merced, CA 953416211 2093861096
3147 N Millbrook Ave, Fresno, CA 937031425 5596006760

Office Location

Street Address 496 S BARTON AVE
City FRESNO
State CA
Zip Code 93702-2985

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821698051 Areli Quinilla Counselor 496 S Barton Ave, Fresno, CA 93702-2985 2020-10-27
1447859889 Luis Omar Rodriguez Counselor 496 S Barton Ave, Fresno, CA 93702-2985 2020-10-17
1225644297 Guadalupe Gil Licensed Vocational Nurse 496 S Barton Ave, Fresno, CA 93702-2985 2020-09-16
1790390714 Kiranjeet Bhinder Licensed Vocational Nurse 496 S Barton Ave, Fresno, CA 93702-2985 2020-09-15
1184238909 Luis Alberto Suarez-lopez Counselor 496 S Barton Ave, Fresno, CA 93702-2985 2020-08-31
1225649197 Domonique E Soto Counselor 496 S Barton Ave, Fresno, CA 93702-2985 2020-08-13
1497372247 Ezereli Ledesma Gomez Marriage & Family Therapist 496 S Barton Ave, Fresno, CA 93702-2985 2020-06-28
1992321384 Saylene A Servin Licensed Vocational Nurse 496 S Barton Ave, Fresno, CA 93702-2985 2020-06-22
1346862158 Jason Alan Cavataio Licensed Vocational Nurse 496 S Barton Ave, Fresno, CA 93702-2985 2020-05-14
1194353441 Noris Martinez Counselor 496 S Barton Ave, Fresno, CA 93702-2985 2020-03-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730644543 Brandy Eugena Dickey Licensed Vocational Nurse 496 S. Barton St., Fresno, CA 93702 2019-02-06
1205308269 Kelly Ramirez Counselor 496 S. Barton St, Fresno, CA 93702 2018-12-31
1518437995 Kimberlin Ann Klein Licensed Vocational Nurse 4411 E Kings Canyon Rd #319, Fresno, CA 93702 2018-11-28
1932677317 Simone Danielle Cato Counselor 496 S Barton St, Fresno, CA 93702 2018-11-05
1558879841 Mekdes Elizabeth Yilma Marriage & Family Therapist 4144 E. Kings Canyon Rd., Fresno, CA 93702 2018-01-20
1831647874 Rick Foster Registered Nurse 441 East Kings Canyon Ave, Fresno, CA 93702 2016-09-20
1770935140 Diana L. Eaglin Registered Nurse 4409 E. Inyo St., Modular A, Fresno, CA 93702 2016-07-08
1700257243 Elizabeth Lee Registered Nurse 4411 E.kings Canyon Rd, Fresno, CA 93702 2015-10-09
1548657299 Brandi Lynn Rieux Counselor 496 S. Barton Ave, Fresno, CA 93702 2015-04-21
1891069548 Tamara Taylor Case Manager/Care Coordinator 890 S. Tenth Street, Fresno, CA 93702 2012-02-28
Find all providers in zip 93702

Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649570458 Kimberly Hudspeth Licensed Psychiatric Technician 1148 W Gettysburg Ave, Fresno, CA 93705-0933 2010-10-26
1871748657 Steven Ralph Colwell Licensed Psychiatric Technician 637 W Hammond Ave, Fresno, CA 93728-2200 2008-11-20
1356404602 Joseph Exnicious Jules Licensed Psychiatric Technician 1312 E Garland Ave, Fresno, CA 93704-4938 2006-12-18
1871100248 Tanveer Hans Licensed Psychiatric Technician 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-09-29
1366069577 Ulysses Ruvalcaba Licensed Psychiatric Technician 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-07-03
1750908141 Brooke Annette Denham Licensed Psychiatric Technician 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-07-01
1376178509 Michelle Mendez Licensed Psychiatric Technician 1235 E St, Fresno, CA 93706-2024 2020-03-09
1801426630 Shaylee Maxfield Licensed Psychiatric Technician 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 2020-01-21
1740828094 Eric Okafor Licensed Psychiatric Technician 496 S Barton Ave, Fresno, CA 93702-2985 2019-12-18
1609411677 Anthony Jauregui Licensed Psychiatric Technician 496 S Barton Ave, Fresno, CA 93702-2985 2019-11-13
Find all providers in FRESNO

Competitor

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City FRESNO
Zip Code 93702

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Dataset Information

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.

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