MS. RHONDA ADELE TODT (NPI# 1669684890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669684890 |
Entity Type | Individual |
Full Name | MS. RHONDA ADELE TODT |
Credential | L. P. T. |
Practice Address |
1947 N California St Suite C Stockton CA 95204-6029 |
Mailing Address |
501 W Walnut St Stockton CA 95204-5625 |
Practice Telephone | 2094630870 |
Mailing Telephone | 2094061428 |
Enumeration Date | 2007-05-03 |
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 | PT26776 | CA | Nursing Service Providers |
Street Address |
1947 N CALIFORNIA ST SUITE C |
City | STOCKTON |
State | CA |
Zip Code | 95204-6029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326080862 | Matrix Rehabilitation, Inc. | Clinic/Center | 1947 N California St, Suite B, Stockton, CA 95204-6029 | 2006-06-11 |
1093345183 | Kurtis Woody | Licensed Vocational Nurse | 1947 N California St, Stockton, CA 95204-6029 | 2020-01-17 |
1588211502 | Roberta Jean Lewis-goldfine | Licensed Vocational Nurse | 1947 N California St, Stockton, CA 95204-6029 | 2019-08-23 |
1568945822 | Pa Gnia Yang | Counselor | 1947 N California St, Stockton, CA 95204-6029 | 2018-09-12 |
1639669070 | Sioban Regina Mersaroli | Counselor | 1947 N California St, Stockton, CA 95204-6029 | 2018-05-11 |
1720580970 | Rana Amjadi Khan | Counselor | 1947 N California St, Stockton, CA 95204-6029 | 2018-03-05 |
1548793656 | Marc Heslop | Counselor | 1947 N California St, Stockton, CA 95204-6029 | 2017-04-05 |
1376908814 | Stephen Bradley Machado II | Counselor | 1947 N California St, Suite B, Stockton, CA 95204-6029 | 2015-12-29 |
1295117174 | Steven Ryan | Case Manager/Care Coordinator | 1947 N California St, B, Stockton, CA 95204-6029 | 2015-06-26 |
1083007033 | Josepph Daniel Isquierdo | Counselor | 1947 N California St, Suite B, Stockton, CA 95204-6029 | 2015-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
Find all providers in zip 95204 |
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 |
---|---|---|---|---|
1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
1497167530 | Elizabeth Anne Degravio | Licensed Psychiatric Technician | 10904 Lands End Dr, Stockton, CA 95209-4289 | 2014-05-23 |
1801215082 | Ashlee Nicole Torres | Licensed Psychiatric Technician | 231 E Bianchi Rd, Stockton, CA 95207-7430 | 2014-04-15 |
1366884058 | Jill Siador | Licensed Psychiatric Technician | 3731 Carly Dr, Stockton, CA 95205-2589 | 2013-07-23 |
1477809929 | Milagros Moreno Mcarthur | Licensed Psychiatric Technician | 10834 Copperopolis Rd, Stockton, CA 95215-1741 | 2012-08-01 |
1033485495 | Thuy Huynh | Licensed Psychiatric Technician | 4545 Georgetown Place Suite A3, Stockton, CA 95207 | 2012-03-29 |
1124232665 | Lyndsey Marie Socha | Licensed Psychiatric Technician | 1947 N California St Ste C, Stockton, CA 95204-6029 | 2007-05-10 |
1851515092 | Barbara Franklin | Licensed Psychiatric Technician | 4514 Mcgaw St Apt 2, Stockton, CA 95207-8119 | 2007-04-12 |
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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.