MR. PAUL DAVID WALLACE NPI 1114044799
Licensed Psychiatric Technician in Stockton, CA

About MR. PAUL DAVID WALLACE

Paul Wallace is a provider established in Stockton, California and his medical specialization is Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1114044799 assigned on March 2007. The practitioner's primary taxonomy code is 167G00000X with license number PT 26296 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1114044799
Provider NameMR. PAUL DAVID WALLACE
Location Address1212 N CALIFORNIA ST STOCKTON, CA 95202
Location Phone(209) 468-3760
Mailing Address1212 N CALIFORNIA ST STOCKTON, CA 95202
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date03-26-2007
Last Update Date07-08-2007


Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code167G00000X
ClassificationLicensed Psychiatric Technician
TypeNursing Service Providers
License No.PT 26296
License StateCA
Taxonomy DescriptionAn 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.

Business Address

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-3760

Get Directions


Mailing Address

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-3760


Location Map

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114044799
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124048718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 0 + 4 + 8 + 7 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1114044799 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184732117DR. ADEGOKE ADEYEMO M.D.
Individual
Psychiatry & Neurology (Psychiatry)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8491
1932218849 MALY XIONG MFT INTERN
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8082
1225152424MRS. LINDA RAMSAY OCLARAY MASTER OF ARTS
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 953-7463
1306960331MRS. ANNALIZA LAGRUTTA MA
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8644
1780709014MR. GARY A. GRAY PT
Individual
Counselor (Mental Health)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8700
1124143474MS. SHIRLEY ANN HOLLOWELL R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 953-1033
1699890921MR. RICHARD ANTHONY BENITEZ MHC I
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8700
1639294341PROF. REMEDIOS AGUADA WALLACE
Individual
Licensed Psychiatric Technician1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8842
1649396045MRS. CYNTHIA L MORISHIGE LCSW
Individual
Social Worker (Clinical)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8643
1033235304MS. DEBRA L. GRINSTEAD R. N.
Individual
Registered Nurse1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8843
1235256207MR. JOHN D SCHAEFFER MFT
Individual
Marriage & Family Therapist1212 N CALIFORNIA ST INPATIENT
STOCKTON, CA 95202
(209) 468-8082
1811014780MS. SUSAN MARIE GRUBER MSW
Individual
Social Worker1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-3760
1770601304MR. CHRISTOPHER EGONIO
Individual
Case Manager/Care Coordinator1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-3760
1417074071MS. GLORIA ANN GREENING PSYCHIATRIC TECHNICI
Individual
Licensed Psychiatric Technician1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8660
1366560112 ROBERT S GRAFF M.D.
Individual
Psychiatry & Neurology (Psychiatry)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-6937
1255459061 MARIA ELIZABETH ARROYO R N
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8660
1295853299 LINDA JANE JEFFRY BRETT R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-2385
1225156128 JANET ELIZABETH BRISCOE RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8660
1073631727 DEBBY ANN LIMAS RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8660
1659490720MRS. MARY ANDRES
Individual
Counselor (Mental Health)1212 N CALIFORNIA ST
STOCKTON, CA 95202
(209) 468-8819

Frequently Asked Questions

What is Mr. Paul Wallace NPI number?

The NPI number assigned to this healthcare provider is 1114044799, enumerated in the NPI registry as an "individual" on March 26, 2007

Where is the provider located?

The provider is located at 1212 N California St Stockton, Ca 95202 and the phone number is (209) 468-3760

What is the provider specialty code?

The provider's speciality is Licensed Psychiatric Technician with taxonomy code 167G00000X

How do I update my NPI information?

This NPI record was last updated on March 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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