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AMANDA SHAW
NPI 1336876523
Licensed Psychiatric Technician in Fontana, CA

Active since August 06, 2022
15217 SAN BERNARDINO AVE, FONTANA, CA 92335(951) 643-2150 Get Directions Write a Review

NPPES record last updated: August 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2022, Aug 6, 2022 (2 updates tracked since 2022).

About Amanda Shaw NPPES

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

AMANDA SHAW (NPI 1336876523) is an individual licensed psychiatric technician in Fontana, California and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1336876523
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameAMANDA SHAW
Location Address15217 SAN BERNARDINO AVEFontana, CA 92335-5327
Mailing Address15217 San Bernardino AveFontana, CA 92335-5327
Phone(951) 643-2150
Sole ProprietorYes
Enumeration DateAugust 6, 2022
Last NPPES UpdateAugust 27, 20222 updates tracked since enumeration
NPPES CertifiedAugust 27, 2022
✔ NPI 1336876523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
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.
15217 SAN BERNARDINO AVE, Fontana, CA 92335
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Other Providers at the Same Location NPPES 19

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

RENEE MARRIOTT
Marriage & Family Therapist
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
San Bernardino County (909) 347-1671
JEVONNE FOSTER
Licensed Psychiatric Technician
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
San Bernardino County (909) 908-6496
JOSEPHINE MOLINA PASCUA
Licensed Vocational Nurse
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2150
MRS. LORI ELIZABETH BOYSTER
Licensed Psychiatric Technician
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2150
MS. NICOLE V LOPEZ M.S.
Marriage & Family Therapist
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2150
ROSALIND EYVETTE VICTOR
Registered Nurse
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2150
TELECARE CORPORATION
Community Based Residential Treatment Facility, Mental Illness
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
San Bernardino County (510) 337-7950
MARSHALL BUCKLEY FRYMAN M.A.
Counselor (Professional)
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
San Bernardino County (951) 643-2150

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 Amanda Shaw's NPI number?

The NPI number for Amanda Shaw is 1336876523. It was assigned to this individual provider in the NPPES registry on August 6, 2022.

Where is Amanda Shaw located?

Amanda Shaw practices at 15217 San Bernardino Ave, Fontana, CA 92335. The listed phone number is (951) 643-2150.

What is Amanda Shaw'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 Amanda Shaw was last updated on August 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.