DANIEL LUDD
NPI 1346791407
Licensed Psychiatric Technician in San Bernardino, CA

Active since October 24, 2016
2080 S E ST, SAN BERNARDINO, CA 92408(909) 388-9191 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel Ludd NPPES

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

DANIEL LUDD (NPI 1346791407) is an individual licensed psychiatric technician in San Bernardino, California, licensed in California (38169) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1346791407
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameDANIEL LUDD
Location Address2080 S E STSan Bernardino, CA 92408-2773
Mailing Address2080 S E StSan Bernardino, CA 92408-2773 · (909) 388-9191
Sole ProprietorNo
Enumeration DateOctober 24, 2016
NPI 1346791407 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 · 38169
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

Other Identifiers 1

Medicaid1760651178CA

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.

Counselor (Mental Health)
2080 S E ST
SAN BERNARDINO, CA 92408
Durable Medical Equipment & Medical Supplies
2080 S E ST, SUITE 250
SAN BERNARDINO, CA 92408
Counselor (Mental Health)
2080 S E ST, 1ST FLOOR
SAN BERNARDINO, CA 92408
Social Worker (Clinical)
2080 S E ST
SAN BERNARDINO, CA 92408
Social Worker (Clinical)
2080 S E ST
SAN BERNARDINO, CA 92408
Case Manager/Care Coordinator
2080 S E ST
SAN BERNARDINO, CA 92408
Psychologist
2080 S E ST, SECOND FLOOR
SAN BERNARDINO, CA 92408
Counselor
2080 S E ST
SAN BERNARDINO, CA 92408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346791407, enumerated as an "individual" on October 24, 2016.

The provider is located at 2080 S E ST SAN BERNARDINO, CA 92408 and the phone number is (909) 388-9191.

Licensed Psychiatric Technician with taxonomy code 167G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.