JOANNE MATA LPT
NPI 1649690991
Licensed Psychiatric Technician in Fresno, CA

Q: What is Joanne Mata's NPI number?

The NPI number for Joanne Mata is 1649690991. It was assigned to this individual provider in the NPPES registry on April 24, 2014. The provider is also known as Joanne Blunt.

Q: What is Joanne Mata'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 Joanne Mata was last updated on April 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 24, 2014

4411 E KINGS CANYON RD, FRESNO, CA 93702(559) 600-7180 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Joanne Mata Lpt NPPES

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

JOANNE MATA LPT (NPI 1649690991) is an individual licensed psychiatric technician in Fresno, California, licensed in California (PT35103) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1649690991

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameJOANNE MATACredential: LPT

Location Address4411 E KINGS CANYON RDFresno, CA 93702-3604

Mailing Address8688 N Cedar Ave Apt 102Fresno, CA 93720-4826 · (559) 600-7180

Phone(559) 600-7180

Sole ProprietorYes

Enumeration DateApril 24, 2014

✔ NPI 1649690991 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 · PT35103

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.

4411 E KINGS CANYON RD, Fresno, CA 93702

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Other Names 1

Former Name (1)Joanne Blunt

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.

MRS. ESTHER I AKANDE LVN

Licensed Vocational Nurse