MARLENE GARCIA LPT - NPI 1063865905 - Licensed Psychiatric Technician in Victorville, CA

Q: What is Marlene Garcia's NPI number?

The NPI number for Marlene Garcia is 1063865905. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Q: What is Marlene Garcia's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Marlene Garcia was last updated on July 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marlene Garcia Lpt NPPES

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

MARLENE GARCIA LPT (NPI 1063865905) is an individual licensed psychiatric technician in Victorville, California, licensed in California (PT 34802) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1063865905

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameMARLENE GARCIACredential: LPT

Location Address12240 HESPERIA RD, SUITE AVictorville, CA 92395-8309

Mailing Address3466 Sun CtRiverside, CA 92507-3572 · (760) 245-8837 · Fax (760) 245-8854

Phone(760) 245-8837

Fax(760) 245-8854

Sole ProprietorYes

Enumeration DateJuly 15, 2016

Last NPPES UpdateJuly 22, 2016

✔ NPI 1063865905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · PT 34802

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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License PT 34802 (CA)

Also ListedTechnicianTaxonomy 374700000X · License PT 34802 (CA)

12240 HESPERIA RD, Victorville, CA 92395

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Other Names 1

Professional Name (2)Marlene Garcia Lpt

Other Providers at the Same Location NPPES 7

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

VALLEY STAR BEHAVIORAL HEALTH, INC.

Community/Behavioral Health