MISS SAMANTHA M HOLLOWAY
NPI 1639392459
Licensed Psychiatric Technician in Stockton, CA

Q: What is Samantha Holloway's NPI number?

The NPI number for Samantha Holloway is 1639392459. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Samantha Holloway'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 Samantha Holloway 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 April 10, 2007

1212 N CALIFORNIA ST., STOCKTON, CA 95202(209) 468-8660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Samantha M Holloway NPPES

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

MISS SAMANTHA M HOLLOWAY (NPI 1639392459) is an individual licensed psychiatric technician in Stockton, California, licensed in California (32576) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1639392459

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameMISS SAMANTHA M HOLLOWAY

Location Address1212 N CALIFORNIA ST.Stockton, CA 95202

Mailing Address4415 N Pershing Ave Apt 17Stockton, CA 95207 · (209) 476-0358

Phone(209) 468-8660

Sole ProprietorNo

Enumeration DateApril 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639392459 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 · 32576

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.

1212 N CALIFORNIA ST., Stockton, CA 95202

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY ARROYO

Counselor (Mental Health)

1212 N CALIFORNIA ST.
STOCKTON, CA 95202

San Joaquin County (209) 468-8686

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 Samantha Holloway's NPI number?

The NPI number for Samantha Holloway is 1639392459. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Samantha Holloway located?

Samantha Holloway practices at 1212 N California St., Stockton, CA 95202. The listed phone number is (209) 468-8660.

What is Samantha Holloway'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 Samantha Holloway 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.