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MARISOL GRANADOS VILLAGRAN
NPI 1053038711
Licensed Psychiatric Technician in Stockton, CA

Active since October 24, 2022
4545 GEORGETOWN PL STE D, STOCKTON, CA 95207(209) 269-5587 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisol Granados Villagran NPPES

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

MARISOL GRANADOS VILLAGRAN (NPI 1053038711) is an individual licensed psychiatric technician in Stockton, California and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1053038711
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMARISOL GRANADOS VILLAGRAN
Location Address4545 GEORGETOWN PL STE DStockton, CA 95207-6229
Mailing Address4545 Georgetown Pl Ste DStockton, CA 95207-6229 · (209) 269-5587
Phone(209) 269-5587
Sole ProprietorNo
Enumeration DateOctober 24, 2022
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1053038711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
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.
4545 GEORGETOWN PL STE D, Stockton, CA 95207
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Other Providers at the Same Location NPPES 20

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

JEFFREY V MANSON
Day Training/Habilitation Specialist
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
KATEMA BAILEY
Case Manager/Care Coordinator
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
JASMINE WHITE
Licensed Vocational Nurse
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
BRITTANY FLOYD-BROOKS
Community Health Worker
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
ONESHIAH DUNN
Day Training/Habilitation Specialist
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
KIMITHY MENDOZA
Day Training/Habilitation Specialist
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587
KRISTEN DOMINGUEZ
Licensed Vocational Nurse
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 981-4053
TRIA VANG
Day Training/Habilitation Specialist
4545 GEORGETOWN PL STE D
STOCKTON, CA 95207
San Joaquin County (209) 269-5587

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 Marisol Granados Villagran's NPI number?

The NPI number for Marisol Granados Villagran is 1053038711. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Marisol Granados Villagran located?

Marisol Granados Villagran practices at 4545 Georgetown Pl Ste D, Stockton, CA 95207. The listed phone number is (209) 269-5587.

What is Marisol Granados Villagran'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 Marisol Granados Villagran was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.