RYANN THIBODEAUX (NPI# 1821450016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821450016 |
| Entity Type | Individual |
| Full Name | RYANN THIBODEAUX |
| Practice Address |
2385 Easy Ave Long Beach CA 90810-3334 |
| Practice Telephone | 5625056712 |
| Mailing Telephone | 5625056712 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 40036 | CA | Nursing Service Providers |
| Street Address |
2385 EASY AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90810-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| Find all providers in zip 90810 | ||||
| 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 |
|---|---|---|---|---|
| 1417047069 | Anthony Desanto-kelly | Licensed Psychiatric Technician | 3501 N Lakewood Blvd, Long Beach, CA 90808-1736 | 2006-10-13 |
| 1730793563 | Perla Hernandez | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-31 |
| 1740893916 | Lisa Louise Morrison | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-27 |
| 1114539921 | Maria Barnes | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-08-21 |
| 1831701267 | Craig Alexander March | Licensed Psychiatric Technician | 1501 Hughes Way Ste 100, Long Beach, CA 90810-1877 | 2020-08-18 |
| 1548878606 | Alejandro Chavira | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-07-15 |
| 1235773045 | Parchae Heard | Licensed Psychiatric Technician | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-11-05 |
| 1962044206 | Davinesha Marie Sally | Licensed Psychiatric Technician | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2019-10-08 |
| 1295388684 | Vincent Lopez | Licensed Psychiatric Technician | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2019-07-24 |
| 1861957029 | Nicholas Saracho | Licensed Psychiatric Technician | 456 Elm Ave, Long Beach, CA 90802-2426 | 2019-02-01 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90810 |
Please comment or provide details below to improve the information on RYANN THIBODEAUX.
| 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.