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STEFANIE FERNANDEZ
NPI 1629409800
Licensed Psychiatric Technician in San Luis Obispo, CA

Active since December 12, 2013
2945 MCMILLAN AVE STE 240, SAN LUIS OBISPO, CA 93401(805) 439-4839 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stefanie Fernandez NPPES

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

STEFANIE FERNANDEZ (NPI 1629409800) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (30302) and active in the NPI registry since December 2013. She maintains a secondary practice location in Santa Maria.

NPPES Registry Identity

NPI1629409800
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameSTEFANIE FERNANDEZ
Location Address2945 MCMILLAN AVE STE 240San Luis Obispo, CA 93401-6771
Mailing Address229 San Luis ParkwayAvila Beach, CA 93424 · (805) 748-8069
Phone(805) 439-4839
Sole ProprietorYes
Enumeration DateDecember 12, 2013
Last NPPES UpdateMay 22, 2019
✔ NPI 1629409800 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 · 30302
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.
2945 MCMILLAN AVE STE 240, San Luis Obispo, CA 93401
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Secondary Practice Location 1

Location 12121 Centerpointe PkwySanta Maria, CA 93455-1331 · Phone (805) 739-8569

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.

MARISSA BAILEY TABARES
Social Worker (Clinical)
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
AMY ELIZABETH MAYFIELD
Day Training/Habilitation Specialist
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
DESIREE DIANE GUZMAN
Technician, Health Information
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
SARA CHRISTINE MCCHESNEY LVN
Licensed Vocational Nurse
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
RANDI ROWE PUST PSYCH TECH
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
JACOB ADAM ZAVALA
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
ISAAC VALDEZ
Case Manager/Care Coordinator
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
HANNAH MILLER
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4839

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 Stefanie Fernandez's NPI number?

The NPI number for Stefanie Fernandez is 1629409800. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Stefanie Fernandez located?

Stefanie Fernandez practices at 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA 93401. The listed phone number is (805) 439-4839.

What is Stefanie Fernandez'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 Stefanie Fernandez was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.