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MY PHAN
NPI 1427422344
Licensed Psychiatric Technician in Stockton, CA

Active since November 16, 2015
1414 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-2385 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Phan NPPES

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

MY PHAN (NPI 1427422344) is an individual licensed psychiatric technician in Stockton, California, licensed in California (PT 38250) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1427422344
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameMY PHAN
Location Address1414 N CALIFORNIA STStockton, CA 95202-1515
Mailing Address1414 N California StStockton, CA 95202-1515
Phone(209) 468-2385
Sole ProprietorYes
Enumeration DateNovember 16, 2015
✔ NPI 1427422344 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 38250
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.
1414 N CALIFORNIA ST, Stockton, CA 95202
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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.

MARITZA JUACHE
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
JOSEPH MICHAEL JACKSON POINTON
Case Manager/Care Coordinator
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-1000
TRISTAN PATRICK SPAULDING
Community Health Worker
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
KEAR HENG NGAM
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
MR. ADAM WILLIAM DIESTLER MFTI
Marriage & Family Therapist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
J WILLIAM WATKINS LPCC
Counselor (Professional)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
ADRIENNE PLEASANTS
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7385
MR. JOSEPH KOZINA
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-4226

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 My Phan's NPI number?

The NPI number for My Phan is 1427422344. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is My Phan located?

My Phan practices at 1414 N California St, Stockton, CA 95202. The listed phone number is (209) 468-2385.

What is My Phan'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 My Phan was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.