KYLE THOMAS ANDERSON L.P,T - NPI 1366789646 - Licensed Psychiatric Technician in Santa Cruz, CA

Q: What is Kyle Anderson's NPI number?

The NPI number for Kyle Anderson is 1366789646. It was assigned to this individual provider in the NPPES registry on January 7, 2013.

Q: What is Kyle Anderson's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Anderson was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

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About Kyle Thomas Anderson L.p,t NPPES

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

KYLE THOMAS ANDERSON L.P,T (NPI 1366789646) is an individual licensed psychiatric technician in Santa Cruz, California, licensed in California (PT 35914) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1366789646

Entity TypeIndividualMale

Primary Taxonomy167G00000X

Provider Legal NameKYLE THOMAS ANDERSONCredential: L.P,T

Location Address2115 7TH AVESanta Cruz, CA 95062-1663

Mailing Address2115 7th AveSanta Cruz, CA 95062-1663 · (831) 420-0120

Phone(831) 420-0120

Sole ProprietorNo

Enumeration DateJanuary 7, 2013

✔ NPI 1366789646 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 · PT 35914

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.

2115 7TH AVE, Santa Cruz, CA 95062

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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.

FRONT STREET

Community Based Residential Treatment Facility, Mental Illness