PHYLLIS LOUISE RODRIGUEZ
NPI 1619370004
Licensed Psychiatric Technician in Fresno, CA

Active since September 30, 2014
496 S BARTON AVE, FRESNO, CA 93702(559) 374-3990 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2023, Aug 30, 2019 (2 updates tracked since 2019).

About Phyllis Louise Rodriguez NPPES

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

PHYLLIS LOUISE RODRIGUEZ (NPI 1619370004) is an individual licensed psychiatric technician in Fresno, California, licensed in California (PT 35583) and active in the NPI registry since September 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619370004
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NamePHYLLIS LOUISE RODRIGUEZ
Location Address496 S BARTON AVEFresno, CA 93702-2985
Mailing Address3420 Winter WayMadera, CA 93637-5956 · (559) 275-3555
Sole ProprietorNo
Enumeration DateSeptember 30, 2014
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1619370004 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 35583
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.
496 S BARTON AVE, Fresno, CA 93702

Secondary Practice Locations 2

Location 13147 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 600-6760
Location 2301 E 13th St Ste DMerced, CA 95341-6211 · Phone (209) 386-1096

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.

Licensed Vocational Nurse
496 S BARTON AVE
FRESNO, CA 93702
Community Health Worker
496 S BARTON AVE
FRESNO, CA 93702
Licensed Vocational Nurse
496 S BARTON AVE
FRESNO, CA 93702
Counselor
496 S BARTON AVE
FRESNO, CA 93702
Counselor
496 S BARTON AVE
FRESNO, CA 93702
Community Health Worker
496 S BARTON AVE
FRESNO, CA 93702
Counselor
496 S BARTON AVE
FRESNO, CA 93702
Community Health Worker
496 S BARTON AVE
FRESNO, CA 93702

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 Phyllis Rodriguez's NPI number?

The NPI number for Phyllis Rodriguez is 1619370004. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Phyllis Rodriguez located?

Phyllis Rodriguez practices at 496 S Barton Ave, Fresno, CA 93702. The listed phone number is (559) 374-3990.

What is Phyllis Rodriguez'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 Phyllis Rodriguez was last updated on July 20, 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.