MR. BRIAN SCOTT PENDLEBERRY LPT
NPI 1467586214
Licensed Psychiatric Technician in Camarillo, CA

Q: What is Brian Pendleberry's NPI number?

The NPI number for Brian Pendleberry is 1467586214. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Brian Pendleberry'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 Brian Pendleberry was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 15, 2007

1722 S LEWIS RD, CAMARILLO, CA 93012(805) 445-7800(805) 445-7830 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Brian Scott Pendleberry Lpt NPPES

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

MR. BRIAN SCOTT PENDLEBERRY LPT (NPI 1467586214) is an individual licensed psychiatric technician in Camarillo, California, licensed in California (PT24244) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1467586214

Entity TypeIndividualMale

Primary Taxonomy167G00000X

Provider Legal NameMR. BRIAN SCOTT PENDLEBERRYCredential: LPT

Location Address1722 S LEWIS RDCamarillo, CA 93012-8520

Mailing Address307 Charro AveThousand Oaks, CA 91320-3658 · (805) 630-3101

Phone(805) 445-7800

Fax(805) 445-7830

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467586214 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 · PT24244

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.

1722 S LEWIS RD, Camarillo, CA 93012

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Other Identifiers 1

OtherPT24244CA · License

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.

CHRIS MARTINEZ

Counselor (Mental Health)