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DANIEL BOONE MIRANDA
NPI 1285994939
Licensed Psychiatric Technician in San Luis Obispo, CA

Active since May 29, 2012
1989 VICENTE DR, SAN LUIS OBISPO, CA 93405(805) 781-4179 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Boone Miranda NPPES

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

DANIEL BOONE MIRANDA (NPI 1285994939) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (36369) and active in the NPI registry since May 2012. He maintains a secondary practice location in San Luis Obispo.

NPPES Registry Identity

NPI1285994939
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameDANIEL BOONE MIRANDA
Location Address1989 VICENTE DRSan Luis Obispo, CA 93405-6863
Mailing Address1989 Vicente DrSan Luis Obispo, CA 93405-6863 · (805) 781-4179
Phone(805) 781-4179
Sole ProprietorYes
Enumeration DateMay 29, 2012
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1285994939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 36369
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PT 36369 (CA)
1989 VICENTE DR, San Luis Obispo, CA 93405
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Secondary Practice Location 1

Location 12178 Johnson AveSan Luis Obispo, CA 93401-4535 · Phone (805) 781-4700

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ANTHONY CLARKE LMFT
Marriage & Family Therapist
1989 VICENTE DR
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 781-4178
KENDRA NOELLE WILLIAMS MFT INTERN
Marriage & Family Therapist
1989 VICENTE DR, A
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 781-4315
PATTI TACKETT MFT-T
Marriage & Family Therapist
1989 VICENTE DR
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 781-4179
MAYRA GRICEL LOPEZ
Social Worker (Clinical)
1989 VICENTE DR
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 781-1354
MS. PATTY FORD LMFT
Marriage & Family Therapist
1989 VICENTE DR
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 781-4209
DR. ENN MANNARD M.D.
Psychiatry & Neurology (Psychiatry)
1989 VICENTE DR
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 781-4179
JILL DARLINE ANDERSON
Marriage & Family Therapist
1989 VICENTE DR
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 781-4213
MRS. CAROLINA ANNE VAN STONE PH.D.-TRAINEE
Counselor (Mental Health)
1989 VICENTE DR
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 781-4313

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 Daniel Miranda's NPI number?

The NPI number for Daniel Miranda is 1285994939. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is Daniel Miranda located?

Daniel Miranda practices at 1989 Vicente Dr, San Luis Obispo, CA 93405. The listed phone number is (805) 781-4179.

What is Daniel Miranda'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 Daniel Miranda was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.