TIMOTHY ALAN LUNDGREN LPT
NPI 1023382769
Licensed Psychiatric Technician in Pasadena, CA
- Individual
- Male
- Licensed Psychiatric Technician
About TIMOTHY LUNDGREN
This page provides the complete NPI Profile along with additional information for Timothy Lundgren, a provider established in Pasadena, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1023382769 assigned on February 2012. The practitioner's primary taxonomy code is 167G00000X with license number 36282 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1023382769 Verify this NPI
- Provider Name
- TIMOTHY ALAN LUNDGREN LPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1020 S ARROYO PKWY PASADENA, CA 91105
- Location Phone
- (626) 294-1079
- Mailing Address
- 713 GAILLARD ST LA VERNE, CA 91750
- Mailing Phone
- (909) 217-8871
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-27-2012
- Last Update Date
- 02-27-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Psychiatric Technician
- Taxonomy Code
- 167G00000X
- Type
- Nursing Service Providers
- License No.
- 36282
- License State
- CA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PASADENA, CA 91105
PASADENA, CA 91105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023382769, enumerated as an "individual" on February 27, 2012.
The provider is located at 1020 S ARROYO PKWY PASADENA, CA 91105 and the phone number is (626) 294-1079.
Licensed Psychiatric Technician with taxonomy code 167G00000X.
