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

SOVANNARY BOU
NPI 1417223504
Licensed Psychiatric Technician in Stockton, CA

Active since March 22, 2012
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8750 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sovannary Bou NPPES

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

SOVANNARY BOU (NPI 1417223504) is an individual licensed psychiatric technician in Stockton, California, licensed in California (PT 35993) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1417223504
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameSOVANNARY BOU
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8750
Phone(209) 468-8750
Sole ProprietorNo
Enumeration DateMarch 22, 2012
✔ NPI 1417223504 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 35993
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.
1212 N CALIFORNIA ST, Stockton, CA 95202
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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
RITA N. MENDOZA
Technician, Other
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8718
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686

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 Sovannary Bou's NPI number?

The NPI number for Sovannary Bou is 1417223504. It was assigned to this individual provider in the NPPES registry on March 22, 2012.

Where is Sovannary Bou located?

Sovannary Bou practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8750.

What is Sovannary Bou'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 Sovannary Bou was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.