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MS. MICHELLE DENISE JACKSON LPT
NPI 1033460761
Licensed Psychiatric Technician in Banning, CA

Active since September 20, 2012
1330 W RAMSEY ST STE 100, BANNING, CA 92220(951) 849-7142(951) 849-1762 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Michelle Denise Jackson Lpt NPPES

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

MS. MICHELLE DENISE JACKSON LPT (NPI 1033460761) is an individual licensed psychiatric technician in Banning, California, licensed in California (PT 30277) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1033460761
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMS. MICHELLE DENISE JACKSONCredential: LPT
Location Address1330 W RAMSEY ST STE 100Banning, CA 92220-4477
Mailing Address1330 W Ramsey St Ste 100Banning, CA 92220-4477 · (951) 849-7142 · Fax (951) 849-1762
Phone(951) 849-7142
Fax(951) 849-1762
Sole ProprietorNo
Enumeration DateSeptember 20, 2012
✔ NPI 1033460761 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 · PT 30277
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.
1330 W RAMSEY ST STE 100, Banning, CA 92220
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Other Providers at the Same Location NPPES 3

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

MS. PAMELA SUZANNE GENGO LCSW
Social Worker (Clinical)
1330 W RAMSEY ST STE 100, BANNING MENTAL HEALTH CLINIC
BANNING, CA 92220
Riverside County (951) 849-7142
MRS. MICHELE RENE DIAZ
Counselor
1330 W RAMSEY ST STE 100
BANNING, CA 92220
Riverside County (951) 849-7142
FLORA IRENE PEREZ MSW, ASW
Social Worker
1330 W RAMSEY ST STE 100
BANNING, CA 92220
Riverside County (951) 849-7142

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1033460761. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Michelle Jackson located?

Michelle Jackson practices at 1330 W Ramsey St Ste 100, Banning, CA 92220. The listed phone number is (951) 849-7142.

What is Michelle Jackson'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 Michelle Jackson was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.