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MRS. JACQUENE J RICHARDSON
NPI 1053699850
Licensed Psychiatric Technician in Los Angeles, CA

Active since July 27, 2011
3875 S WESTERN AVE, LOS ANGELES, CA 90062(323) 290-4373 Get Directions Write a Review

NPPES record last updated: August 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jacquene J Richardson NPPES

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

MRS. JACQUENE J RICHARDSON (NPI 1053699850) is an individual licensed psychiatric technician in Los Angeles, California, licensed in California (PT36012) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1053699850
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMRS. JACQUENE J RICHARDSON
Location Address3875 S WESTERN AVELos Angeles, CA 90062-1105
Mailing Address498 W. 59th StreetSan Bernardino, CA 92407 · (323) 290-4373
Phone(323) 290-4373
Sole ProprietorYes
Enumeration DateJuly 27, 2011
Last NPPES UpdateAugust 1, 2011
✔ NPI 1053699850 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 · PT36012
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.
3875 S WESTERN AVE, Los Angeles, CA 90062
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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.

ARZELL LAVEE SCOGGINS
Marriage & Family Therapist
3875 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4377
MRS. LYDIA ANN BANKS I
Rehabilitation Practitioner
3875 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4354
DEMETRIA JARMON
Community Health Worker
3875 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4367
ELISA BUENO
Rehabilitation Practitioner
3875 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4349
MS. AYANNA NICOLE RUSSELL
Licensed Vocational Nurse
3875 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4356
AMINTA YESENIA AMAYA
Case Manager/Care Coordinator
3875 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (213) 639-2500
RAVEN C FLEMING
Case Manager/Care Coordinator
3875 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (626) 254-5000
MS. ALICIA MARIE HUNT MSW, ASW
Counselor (Mental Health)
3875 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (213) 639-0265

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 Jacquene Richardson's NPI number?

The NPI number for Jacquene Richardson is 1053699850. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Jacquene Richardson located?

Jacquene Richardson practices at 3875 S Western Ave, Los Angeles, CA 90062. The listed phone number is (323) 290-4373.

What is Jacquene Richardson'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 Jacquene Richardson was last updated on August 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.