MICHELL L CHISHAM
NPI 1760543011
Licensed Psychiatric Technician in Santa Rosa, CA

Q: What is Michell Chisham's NPI number?

The NPI number for Michell Chisham is 1760543011. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Q: What is Michell Chisham'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 Michell Chisham was last updated on July 7, 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 December 12, 2006

3322 CHANATE RD, SANTA ROSA, CA 95404(707) 565-5007 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Michell L Chisham NPPES

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

MICHELL L CHISHAM (NPI 1760543011) is an individual licensed psychiatric technician in Santa Rosa, California, licensed in California (21604) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1760543011

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameMICHELL L CHISHAM

Location Address3322 CHANATE RDSanta Rosa, CA 95404-1707

Mailing Address3322 Chanate RdSanta Rosa, CA 95404-1708 · (707) 565-4922

Phone(707) 565-5007

Sole ProprietorNo

Enumeration DateDecember 12, 2006

Last NPPES UpdateJuly 7, 2014

✔ NPI 1760543011 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 · 21604

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.

3322 CHANATE RD, Santa Rosa, CA 95404

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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 FREDERICK KOZART

Psychiatry & Neurology (Psychiatry)