PATRICIA ANN TRUJILLO (NPI# 1841358520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841358520 |
| Entity Type | Individual |
| Full Name | PATRICIA ANN TRUJILLO |
| Credential | LPT |
| Practice Address |
7000b S Center Dr Clearlake CA 95422-8131 |
| Mailing Address |
Po Box 1024 Lucerne CA 95458-1024 |
| Practice Telephone | 7079947090 |
| Mailing Telephone | 7079947090 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSED PSYCHIATRIC TECHNICIAN | PT 31094 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508196940 | Patricia Ann Trujillo | Occupational Therapist | 418 Walnut St, Belleville, IL 62220-4057 | 2010-01-07 |
| 1154929982 | Patricia Marie Trujillo | Speech-Language Pathologist | 9425 Sw 72nd St Ste 225, Miami, FL 33173-5494 | 2020-10-14 |
| 1093196545 | Patricia Trujillo | Case Manager/Care Coordinator | 904 E Fairview Ln, B, Espanola, NM 87532-2822 | 2015-06-10 |
| 1730501891 | Patricia Trujillo | Dietitian, Registered | 1030 International Blvd, Oakland, CA 94606-3730 | 2014-01-09 |
| 1700089133 | Patricia Trujillo | Counselor | 2265 Lava Ln, Alamosa, CO 81101-3578 | 2007-06-05 |
| Street Address |
7000B S CENTER DR |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422-8131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930865 | Jealena C Cooke | Case Manager/Care Coordinator | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2020-07-28 |
| 1386289460 | Lilia Ashrafi Powers | Case Manager/Care Coordinator | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-11-12 |
| 1932759750 | Allison Katia Ryder-holtz | Case Manager/Care Coordinator | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-09-13 |
| 1073162434 | Julia Marie Gray | Case Manager/Care Coordinator | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-09-09 |
| 1356994925 | Yesica Meza | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-07-22 |
| 1609339548 | Richard Domanick Occhino | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-04-08 |
| 1932667003 | Judith Ann Krings | Registered Nurse | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-03-07 |
| 1053884395 | Richard Allan Cohn Jr. | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-01-09 |
| 1770056608 | Scott Lamar Sullivan | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-01-03 |
| 1861976466 | Jayme Thomas | Case Manager/Care Coordinator | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| 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 |
|---|---|---|---|---|
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1407313901 | Yolanda Estella Knight | Licensed Psychiatric Technician | 7000 S Center Dr Bldg B, Clearlake, CA 95422-8131 | 2019-02-21 |
| 1972050102 | Mark Defren | Licensed Psychiatric Technician | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2016-09-06 |
| 1235518879 | Cecily Kagy | Licensed Psychiatric Technician | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2015-05-28 |
| 1437297124 | Glenna Rae Mcgirr | Licensed Psychiatric Technician | 15145a Lakeshore Dr, Clearlake, CA 95422-8106 | 2007-02-02 |
| 1801959176 | Kathleen Marie Razmek | Licensed Psychiatric Technician | 15145a Lakeshore Dr, Clearlake, CA 95422-8106 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.