SHELLI HAZEL WATSON LPT
NPI 1184097651
Licensed Psychiatric Technician in Santa Maria, CA

Q: What is Shelli Watson's NPI number?

The NPI number for Shelli Watson is 1184097651. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Q: What is Shelli Watson'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 Shelli Watson was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 05, 2015

116 AGNES AVE, SANTA MARIA, CA 93458(805) 457-3724 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2019, Aug 22, 2019 (2 updates tracked since 2019).

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About Shelli Hazel Watson Lpt NPPES

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

SHELLI HAZEL WATSON LPT (NPI 1184097651) is an individual licensed psychiatric technician in Santa Maria, California, licensed in California (40616) and active in the NPI registry since November 2015. She maintains a secondary practice location in Santa Maria.

NPPES Registry Identity

NPI1184097651

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameSHELLI HAZEL WATSONCredential: LPT

Location Address116 AGNES AVESanta Maria, CA 93458-2838

Mailing Address212 Carmen Ln Ste 201Santa Maria, CA 93458-7771 · (805) 212-7680

Phone(805) 457-3724

Sole ProprietorNo

Enumeration DateNovember 5, 2015

Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration

✔ NPI 1184097651 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 · 40616

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.

116 AGNES AVE, Santa Maria, CA 93458

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Secondary Practice Location 1

Location 1212 Carmen Ln Ste 201Santa Maria, CA 93458-7771 · Phone (805) 212-7680

Other Identifiers 2

Other1245897354CA · Telecare Corporation

Other1205480563CA · Telecare Corporation-agnes Ave

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.

MS. REBECCA DIANE KOHLE-PATTERSON LMFT

Marriage & Family Therapist