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JEREMIAH GACUSAN
NPI 1679987036
Licensed Psychiatric Technician in Campbell, CA

Active since June 13, 2014
251 LLEWELLYN AVE, CAMPBELL, CA 95008(916) 388-6372(916) 779-2558 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremiah Gacusan NPPES

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

JEREMIAH GACUSAN (NPI 1679987036) is an individual licensed psychiatric technician in Campbell, California, licensed in California (29197) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1679987036
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameJEREMIAH GACUSAN
Location Address251 LLEWELLYN AVECampbell, CA 95008-1940
Mailing Address1335 Old Abbey PlSan Jose, CA 95132-2527 · (916) 388-6372 · Fax (916) 779-2558
Phone(916) 388-6372
Fax(916) 779-2558
Sole ProprietorYes
Enumeration DateJune 13, 2014
✔ NPI 1679987036 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 · 29197
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.
251 LLEWELLYN AVE, Campbell, CA 95008
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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.

MICHAEL CASTOR
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
ELYSE JULIA MALCOLM
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (669) 302-9756
SEAN XUAN-HUU NGUYEN
Behavior Technician
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
JAJUAN JAMES MEEKS
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
JOHN CHARLES MANUPELLA
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (877) 412-7474
JESSICA GARCIA
Behavior Technician
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 379-3790
NAIHLA ARELY DE JESUS MEDINA
Case Manager/Care Coordinator
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 603-6795
KIM E COUSENS LCSW
Social Worker (Clinical)
251 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 356-9853

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 Jeremiah Gacusan's NPI number?

The NPI number for Jeremiah Gacusan is 1679987036. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Jeremiah Gacusan located?

Jeremiah Gacusan practices at 251 Llewellyn Ave, Campbell, CA 95008. The listed phone number is (916) 388-6372.

What is Jeremiah Gacusan'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 Jeremiah Gacusan was last updated on June 13, 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.