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SHAYNA CLARK
NPI 1649559352
Licensed Psychiatric Technician in Eureka, CA

Active since August 11, 2011

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shayna Clark NPPES

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

SHAYNA CLARK (NPI 1649559352) is an individual licensed psychiatric technician in Eureka, California, licensed in California (PT36132) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1649559352
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameSHAYNA CLARK
Location Address720 WOOD STEureka, CA 95501-4413
Mailing Address720 Wood StEureka, CA 95501-4413 · (707) 268-2900
Phone(707) 268-2900
Sole ProprietorNo
Enumeration DateAugust 11, 2011
Last NPPES UpdateNovember 30, 2011
✔ NPI 1649559352 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 · PT36132
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
720 WOOD ST, Eureka, CA 95501
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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.

MISS ASHLEY DAWN KINMAN
Case Manager/Care Coordinator
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
JACQUELYN WHITE
Counselor (Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
SHAWNA RECKINGER RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ALLISON JUDY PHILLIPS RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
AIMEE LEEANNE WOODS LVN
Licensed Vocational Nurse
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ERIC CARL VEDBORG LMFT
Marriage & Family Therapist
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2935
MS. LESLIE ANN PETERSEN
Registered Nurse
720 WOOD ST, HUMBOLDT COUNTY MENTAL HEALTH
EUREKA, CA 95501
Humboldt County (707) 445-7710
BARBARA MARY FRANKLIN RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 445-7710

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 Shayna Clark's NPI number?

The NPI number for Shayna Clark is 1649559352. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Shayna Clark located?

Shayna Clark practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2900.

What is Shayna Clark'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 Shayna Clark was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.