LAURYN ANN SEALOCK
NPI 1558910935
Licensed Psychiatric Technician in Fontana, CA

Q: What is Lauryn Sealock's NPI number?

The NPI number for Lauryn Sealock is 1558910935. It was assigned to this individual provider in the NPPES registry on September 8, 2019.

Q: What is Lauryn Sealock'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 Lauryn Sealock was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 08, 2019

15217 SAN BERNARDINO AVE, FONTANA, CA 92335(951) 643-2150 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2023, Sep 8, 2019 (2 updates tracked since 2019).

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About Lauryn Ann Sealock NPPES

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

LAURYN ANN SEALOCK (NPI 1558910935) is an individual licensed psychiatric technician in Fontana, California, licensed in California (PT42246) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1558910935

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameLAURYN ANN SEALOCK

Location Address15217 SAN BERNARDINO AVEFontana, CA 92335-5327

Mailing Address2085 Rustin Ave Ste 1Riverside, CA 92507-2498 · (951) 955-7320

Phone(951) 643-2150

Sole ProprietorYes

Enumeration DateSeptember 8, 2019

Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2023

✔ NPI 1558910935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · PT42246

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

15217 SAN BERNARDINO AVE, Fontana, CA 92335

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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.

RENEE MARRIOTT

Marriage & Family Therapist