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SANDY PANKRATZ
NPI 1063568509
Licensed Psychiatric Technician in San Luis Obispo, CA

Active since January 26, 2007
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 781-4711 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandy Pankratz NPPES

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

SANDY PANKRATZ (NPI 1063568509) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (PT27406) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1063568509
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameSANDY PANKRATZ
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing Address129 W Jones St Apt CSanta Maria, CA 93458-5675 · (805) 352-9294
Phone(805) 781-4711
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateNovember 17, 2008
✔ NPI 1063568509 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 · PT27406
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.
2178 JOHNSON AVE, San Luis Obispo, CA 93401
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Other Identifiers 1

Medicare UPIN1770665887

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.

CALLIE ROSE BOLLER
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
CAMDEN SCHLEISNER
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
SUSIE JULIANA BAUTISTA
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4960
THOMAS BURDICK
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
San Luis Obispo County (805) 781-4711
KIMBERLY SEAMAN
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
JENNIFER N KUIKEN LPT
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4712
RONALD ANTHONY VERDUSCO
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
RANDY LEE SCHEIDERER PSYCHIATRIC TECH
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4723

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 Sandy Pankratz's NPI number?

The NPI number for Sandy Pankratz is 1063568509. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Sandy Pankratz located?

Sandy Pankratz practices at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 781-4711.

What is Sandy Pankratz'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 Sandy Pankratz was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.