1. Home
  2. Directory
  3. California
  4. Roseville
  5. Licensed Psychiatric Technician
  6. NPI Profile

PARIS CLACK PT
NPI 1316644792
Licensed Psychiatric Technician in Roseville, CA

Active since February 15, 2023
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661(916) 774-6456 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Paris Clack Pt NPPES

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

PARIS CLACK PT (NPI 1316644792) is an individual licensed psychiatric technician in Roseville, California, licensed in California (42058) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1316644792
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NamePARIS CLACKCredential: PT
Location Address1133 COLOMA WAY STE CRoseville, CA 95661-4480
Mailing Address7246 Remmet AveCanoga Park, CA 91303-1531
Phone(916) 774-6456
Sole ProprietorNo
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1316644792 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 · 42058
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.
1133 COLOMA WAY STE C, Roseville, CA 95661
Open in Google Maps ↗

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.

MRS. BRIDGET ADAMS RADT
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
CHRISTOPHER ALLEN UNDERWOOD AMFT
Marriage & Family Therapist
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 955-6220
TORI ROOKE
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
PATRICIA GWEN DOMINGUEZ SUDCC II
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
BRITTANY BROACH
Counselor (Mental Health)
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
JESSE HATLER
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
LORI A WOODS CADC- II
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MELANIE SELOMI DEVERA
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647

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 Paris Clack's NPI number?

The NPI number for Paris Clack is 1316644792. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Where is Paris Clack located?

Paris Clack practices at 1133 Coloma Way Ste C, Roseville, CA 95661. The listed phone number is (916) 774-6456.

What is Paris Clack'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 Paris Clack was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.