MRS. JANA KATHLIN CEARLEY (NPI# 1659415156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659415156 |
Entity Type | Individual |
Full Name | MRS. JANA KATHLIN CEARLEY |
Credential | LPT |
Practice Address |
1585 Kansas Ave San Luis Obispo CA 93405-7604 |
Mailing Address |
2180 Johnson Ave San Luis Obispo CA 93401-4513 |
Practice Telephone | 8057814997 |
Mailing Telephone | 8057814997 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2016-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | PT25783 | CA | Nursing Service Providers |
Street Address |
1585 KANSAS AVE |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93405-7604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912546045 | Cynthia Schenk | Nurse Practitioner | 1585 Kansas Ave, San Luis Obispo, CA 93405-7604 | 2020-01-06 |
1750832291 | Stuart Sheeler | Technician | 1585 Kansas Ave, San Luis Obispo, CA 93405-7604 | 2016-10-19 |
1609150218 | Kristina Renee Gutzman | Community/Behavioral Health | 1585 Kansas Ave, San Luis Obispo, CA 93405-7604 | 2011-09-30 |
1255579660 | Toni Kathleen Flynn | Licensed Psychiatric Technician | 1585 Kansas Ave, San Luis Obispo, CA 93405-7604 | 2009-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
Find all providers in zip 93405 |
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 |
---|---|---|---|---|
1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
1770098154 | Alpha Barrie | Licensed Psychiatric Technician | 1050 E Foothill Blvd, San Luis Obispo, CA 93405-1860 | 2017-12-07 |
1891025607 | Holly Lindenthaler | Licensed Psychiatric Technician | 1012 Vista Del Collados, San Luis Obispo, CA 93405-4822 | 2009-12-30 |
1457546673 | Brian Rick Atwell Sr. | Licensed Psychiatric Technician | 2178 Johnson Ave # Phf, San Luis Obispo, CA 93401-4535 | 2007-09-11 |
1689714628 | Heidi Sarmento | Licensed Psychiatric Technician | 1585 Kansas Ave., San Luis Obispo, CA 93401 | 2007-02-07 |
1578181996 | Lynnette Warren | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-07-13 |
1184242869 | Kevin Nitzel | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2020-07-09 |
1114554227 | Jacob Adam Zavala | Licensed Psychiatric Technician | 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA 93401-6771 | 2020-03-26 |
1003452285 | Jennifer N Kuiken | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2019-11-21 |
1902441405 | Michael O'toole | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2019-11-08 |
Find all providers in SAN LUIS OBISPO |
City | SAN LUIS OBISPO |
Zip Code | 93405 |
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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.