JANICE L GORDON
NPI 1770132136
Licensed Psychiatric Technician in Roseville, CA

Active since September 09, 2019
1133 COLOMA WAY, ROSEVILLE, CA 95661(916) 774-6647 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Janice L Gordon NPPES

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

JANICE L GORDON (NPI 1770132136) is an individual licensed psychiatric technician in Roseville, California, licensed in California (33828) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1770132136
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameJANICE L GORDON
Location Address1133 COLOMA WAYRoseville, CA 95661-4480
Mailing Address14264 Nojack CtPenn Valley, CA 95946-9731 · (530) 615-9995
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
NPI 1770132136 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 · 33828
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.
1133 COLOMA WAY, Roseville, CA 95661

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.

Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY, #C
ROSEVILLE, CA 95661
Counselor (Mental Health)
1133 COLOMA WAY, SUITE A
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661
Counselor (Mental Health)
1133 COLOMA WAY
ROSEVILLE, CA 95661
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY
ROSEVILLE, CA 95661

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 Janice Gordon's NPI number?

The NPI number for Janice Gordon is 1770132136. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Janice Gordon located?

Janice Gordon practices at 1133 Coloma Way, Roseville, CA 95661. The listed phone number is (916) 774-6647.

What is Janice Gordon'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 Janice Gordon was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.