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

Q: What is Matt Van Blair's NPI number?

The NPI number for Matt Van Blair is 1447754742. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Q: What is Matt Van Blair'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 Matt Van Blair was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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: August 09, 2026.

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

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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

Phone(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

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Other Identifiers 1

Other1205480563Agnes Ave

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.

MS. REBECCA DIANE KOHLE-PATTERSON LMFT

Marriage & Family Therapist