MARY THERESA ROSE
NPI 1659940104
Licensed Psychiatric Technician in Yuba City, CA

Q: What is Mary Rose's NPI number?

The NPI number for Mary Rose is 1659940104. It was assigned to this individual provider in the NPPES registry on June 20, 2021.

Q: What is Mary Rose'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 Mary Rose was last updated on June 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 20, 2021

1965 LIVE OAK BLVD, YUBA CITY, CA 95991(530) 822-7209 Get Directions Write a Review

NPPES record last updated: June 20, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mary Theresa Rose NPPES

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

MARY THERESA ROSE (NPI 1659940104) is an individual licensed psychiatric technician in Yuba City, California, licensed in California (34407) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1659940104

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameMARY THERESA ROSE

Location Address1965 LIVE OAK BLVDYuba City, CA 95991-8850

Mailing Address1965 Live Oak BlvdYuba City, CA 95991-8850 · (530) 822-7209

Phone(530) 822-7209

Sole ProprietorYes

Enumeration DateJune 20, 2021

NPPES CertifiedJune 20, 2021

✔ NPI 1659940104 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 · 34407

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.

1965 LIVE OAK BLVD, Yuba City, CA 95991

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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.

SCHSLEEN LEE

Registered Nurse