MATT MACARTHUR VAN BLAIR
NPI 1447754742
Licensed Psychiatric Technician in Santa Maria, CA

Active since March 21, 2018
116 AGNES AVE, SANTA MARIA, CA 93458(805) 457-3724 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2022, Mar 21, 2018 (2 updates tracked since 2018).

About Matt Macarthur Van Blair NPPES

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

MATT MACARTHUR VAN BLAIR (NPI 1447754742) is an individual licensed psychiatric technician in Santa Maria, California, licensed in California (37368) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1447754742
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameMATT MACARTHUR VAN BLAIR
Location Address116 AGNES AVESanta Maria, CA 93458-2838
Mailing Address116 Agnes AveSanta Maria, CA 93458-2838 · (805) 457-3724
Sole ProprietorNo
Enumeration DateMarch 21, 2018
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
NPI 1447754742 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 · 37368
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.

116 AGNES AVE, Santa Maria, CA 93458

Other Identifiers 1

Other1205480563Agnes Ave

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.

Community Based Residential Treatment Facility, Mental Illness
116 AGNES AVE
SANTA MARIA, CA 93458
Counselor
116 AGNES AVE
SANTA MARIA, CA 93458
Social Worker
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Case Manager/Care Coordinator
116 AGNES AVE
SANTA MARIA, CA 93458
Licensed Vocational Nurse
116 AGNES AVE
SANTA MARIA, CA 93458
Counselor (Mental Health)
116 AGNES AVE
SANTA MARIA, CA 93458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447754742, enumerated as an "individual" on March 21, 2018.

The provider is located at 116 AGNES AVE SANTA MARIA, CA 93458 and the phone number is (805) 457-3724.

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.