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: July 26, 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
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

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.

Licensed Vocational Nurse
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
Technician, Health Information
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401
Licensed Psychiatric Technician
2945 MCMILLAN AVE STE 240
SAN LUIS OBISPO, CA 93401

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 with the weekly NPPES data releases published by CMS.