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COLLIS SMITH
NPI 1184959173
Licensed Psychiatric Technician in San Bernardino, CA

Active since October 08, 2009
2080 S E ST, SAN BERNARDINO, CA 92408(909) 825-8989 Get Directions Write a Review

NPPES record last updated: October 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collis Smith NPPES

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

COLLIS SMITH (NPI 1184959173) is an individual licensed psychiatric technician in San Bernardino, California, licensed in California (34214) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1184959173
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameCOLLIS SMITH
Location Address2080 S E STSan Bernardino, CA 92408-2706
Mailing Address11650 Cherry AveFontana, CA 92337-2786 · (909) 904-9465
Phone(909) 825-8989
Sole ProprietorNo
Enumeration DateOctober 8, 2009
✔ NPI 1184959173 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 · 34214
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.
2080 S E ST, San Bernardino, CA 92408
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Other Identifiers 1

Medicaid1124100383CA

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.

JOHNNY TAMAS
Licensed Psychiatric Technician
2080 S E ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 388-9191
CORINNA MARIE REYES-RAYAS CADC I
Counselor (Addiction (Substance Use Disorder))
2080 S E ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 388-9191
SUSAN KIMBERLY GILLIAM LCSW
Social Worker (Clinical)
2080 S E ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 388-9191
GUADALUPE TAPIA
Student in an Organized Health Care Education/Training Program
2080 S E ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9330
SILVIA GARBER LMFT 49862
Marriage & Family Therapist
2080 S E ST
SAN BERNARDINO, CA 92408
San Bernardino County (909) 510-3791
DR. RHONDA Q HIGGINS
Counselor
2080 S E ST
SAN BERNARDINO, CA 92408
San Bernardino County (213) 435-5381
LYNA MENDEZ LPT
Licensed Psychiatric Technician
2080 S E ST
SAN BERNARDINO, CA 92408
San Bernardino County (190) 938-8919
MOPELOLA BEATRICE KEME
Registered Nurse (Psychiatric/Mental Health)
2080 S E ST, STE. 100
SAN BERNARDINO, CA 92408
San Bernardino County (909) 388-9191

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 Collis Smith's NPI number?

The NPI number for Collis Smith is 1184959173. It was assigned to this individual provider in the NPPES registry on October 8, 2009.

Where is Collis Smith located?

Collis Smith practices at 2080 S E St, San Bernardino, CA 92408. The listed phone number is (909) 825-8989.

What is Collis Smith'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 Collis Smith was last updated on October 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.