1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Licensed Psychiatric Technician
  6. NPI Profile

BROOKE BAXSTRESSER
NPI 1003664350
Licensed Psychiatric Technician in San Luis Obispo, CA

Active since May 10, 2024
2975 MCMILLAN AVE STE 162, SAN LUIS OBISPO, CA 93401(805) 439-4890 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, Jun 10, 2024, May 10, 2024 (3 updates tracked since 2024).

About Brooke Baxstresser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE BAXSTRESSER (NPI 1003664350) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (41163) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1003664350
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameBROOKE BAXSTRESSER
Location Address2975 MCMILLAN AVE STE 162San Luis Obispo, CA 93401-6768
Mailing Address2975 Mcmillan Ave Ste 164San Luis Obispo, CA 93401-6768 · (805) 439-4890
Phone(805) 439-4890
Sole ProprietorNo
Enumeration DateMay 10, 2024
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1003664350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 41163
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.
2975 MCMILLAN AVE STE 162, San Luis Obispo, CA 93401
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REANNA MAZUKA
Case Manager/Care Coordinator
2975 MCMILLAN AVE STE 162
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Baxstresser's NPI number?

The NPI number for Brooke Baxstresser is 1003664350. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Brooke Baxstresser located?

Brooke Baxstresser practices at 2975 Mcmillan Ave Ste 162, San Luis Obispo, CA 93401. The listed phone number is (805) 439-4890.

What is Brooke Baxstresser's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Brooke Baxstresser was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.