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TYDA VIVEROS
NPI 1063946002
Licensed Psychiatric Technician in Stockton, CA

Active since April 17, 2017
1111 N EL DORADO ST, STOCKTON, CA 95202(209) 938-0228(209) 938-0281 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tyda Viveros NPPES

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

TYDA VIVEROS (NPI 1063946002) is an individual licensed psychiatric technician in Stockton, California, licensed in California (37052) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1063946002
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameTYDA VIVEROS
Location Address1111 N EL DORADO STStockton, CA 95202-1305
Mailing Address1111 N. Eldorado StreetStockton, CA 95202 · (209) 938-0228 · Fax (209) 938-0281
Phone(209) 938-0228
Fax(209) 938-0281
Sole ProprietorYes
Enumeration DateApril 17, 2017
✔ NPI 1063946002 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 · 37052
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.

1111 N EL DORADO ST, Stockton, CA 95202
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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.

MR. DA HER
Clinic/Center (Methadone)
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
CHRISTIE YBARRA LAWRENCE NONE
Clinic/Center
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
MR. PHILLIP YASUO YOSHIMURA I PA-C
Physician Assistant
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
MR. DENG VUE COUNSELOR
Clinic/Center (Methadone)
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
MS. DONALEE KAY BATES
Clinic/Center
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
PAO CHOUA VANG
Clinic/Center (Methadone)
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
JUDY HENDRICKSON MA
Nurse's Aide
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
MRS. PAMELA MARIE DAVIDSON
Counselor (Addiction (Substance Use Disorder))
1111 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228

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 Tyda Viveros's NPI number?

The NPI number for Tyda Viveros is 1063946002. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Tyda Viveros located?

Tyda Viveros practices at 1111 N El Dorado St, Stockton, CA 95202. The listed phone number is (209) 938-0228.

What is Tyda Viveros'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 Tyda Viveros was last updated on April 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.