TONY JACKSON LPT
NPI 1225424211
Licensed Psychiatric Technician in Merced, CA

Active since April 07, 2015
300 E 15TH ST, MERCED, CA 95341(209) 381-6879(209) 725-3775 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tony Jackson Lpt NPPES

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

TONY JACKSON LPT (NPI 1225424211) is an individual licensed psychiatric technician in Merced, California, licensed in California (36316) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1225424211
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameTONY JACKSONCredential: LPT
Location Address300 E 15TH STMerced, CA 95341-6217
Mailing AddressPo Box 2084Merced, CA 95344-0084 · (209) 381-6879 · Fax (209) 725-3775
Fax(209) 725-3775
Sole ProprietorNo
Enumeration DateApril 7, 2015
NPI 1225424211 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 · 36316
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.
300 E 15TH ST, Merced, CA 95341

Other Identifiers 1

Medicaid1013030808CA

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.

Rehabilitation Practitioner
300 E 15TH ST
MERCED, CA 95341
Registered Nurse (Psychiatric/Mental Health, Adult)
300 E 15TH ST
MERCED, CA 95341
Psychiatric Unit
300 E 15TH ST
MERCED, CA 95341
Licensed Vocational Nurse
300 E 15TH ST
MERCED, CA 95341
Counselor
300 E 15TH ST
MERCED, CA 95341
Registered Nurse (Administrator)
300 E 15TH ST
MERCED, CA 95341
Registered Nurse
300 E 15TH ST
MERCED, CA 95341
Social Worker (Clinical)
300 E 15TH ST
MERCED, CA 95341

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 Tony Jackson's NPI number?

The NPI number for Tony Jackson is 1225424211. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Tony Jackson located?

Tony Jackson practices at 300 E 15th St, Merced, CA 95341. The listed phone number is (209) 381-6879.

What is Tony Jackson'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 Tony Jackson was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.